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[迟发性外伤性脑内出血。5例报告]

[Delayed traumatic intracerebral hemorrhage. Report of 5 cases].

作者信息

Ramina R, Krüger J, Marcu H

出版信息

Arq Neuropsiquiatr. 1980 Sep;38(3):252-60. doi: 10.1590/s0004-282x1980000300005.

Abstract

Five cases of traumatic delayed intracerebral hemorrhage are reported. At the admission two patients showed only contusional injury and three had acute intracranial hematomas, one with an extradural infratentorial and two with supratentorial hematomas, which were immediately removed. Repeated CT-scans revealed the delayed intracerebral hemorrhage. Three patients developed an intracerebral hemorrhage within the first 24 hours after admission. The possible mechanisms producing these lesions are discussed. The high mortality of these patients (four in our series) is associated with severe brain damage after the traumatism.

摘要

报告了5例创伤性迟发性脑内出血病例。入院时,2例患者仅表现为挫伤,3例有急性颅内血肿,1例为幕下硬膜外血肿,2例为幕上血肿,均立即进行了清除。重复CT扫描发现了迟发性脑内出血。3例患者在入院后24小时内发生了脑内出血。讨论了产生这些病变的可能机制。这些患者的高死亡率(我们系列中有4例)与创伤后脑严重损伤有关。

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