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[急性创伤性硬膜外和硬膜下血肿的预后因素]

[Prognostic factors in acute traumatic epi- and subdural hematoma].

作者信息

Pospiech J, Kalff R, Herwegen H

机构信息

Neurochirurgische Universitätsklinik GHS Essen.

出版信息

Aktuelle Traumatol. 1993 Feb;23(1):1-6.

PMID:8097352
Abstract

The results of a retrospective study on the outcome of 147 patients with acute traumatic epidural and subdural haematomas are presented. It is shown that several factors have a significant influence on the outcome of these patients (e.g. type of haematoma, injuries of other organ systems, and findings on admission. Our conclusions: 1. Epidural haematomas have a far better prognosis than subdural haematomas. 2. For both types of haematoma the initial findings and duration of coma seem to be the main predictors of outcome. 3. The patient's age does not significantly influence outcome. 4. As for subdural haematomas, concomitant brain injuries are of greater importance to the outcome than the effects of the haematoma itself.

摘要

本文呈现了一项针对147例急性创伤性硬膜外和硬膜下血肿患者预后的回顾性研究结果。结果表明,若干因素对这些患者的预后有显著影响(例如血肿类型、其他器官系统损伤以及入院时的检查结果)。我们的结论:1. 硬膜外血肿的预后远优于硬膜下血肿。2. 对于这两种类型的血肿,初始检查结果和昏迷持续时间似乎是预后的主要预测因素。3. 患者年龄对预后无显著影响。4. 对于硬膜下血肿,伴随的脑损伤对预后的影响比血肿本身的影响更为重要。

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