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[迟发性外伤性脑内血肿]

[The delayed traumatic intracerebral haematomas].

作者信息

Zhang G, Wang D, Cheng D

机构信息

Gezhouba Centre Hospital, Yichang.

出版信息

Zhonghua Wai Ke Za Zhi. 1995 Jul;33(7):430-2.

PMID:8565734
Abstract

The results of CT observation of 378 inpatients with head injury were reported. 46 delayed traumatic intracerebral haematomas (DTICH) patients were found to have 71 haematomas. The incidence of DTICH was 12.2%. 80.7% of DTICH patients were noted 48 hours after injury. Most of them were young and middle aged persons. The places of baematomas were at the injured zones. The intracranial pressure continous monitor is useful to judge the DTICH during the early stage. Surgical operation is proposed for the patients with many haematomas and displaced central tissue. The haematomas should be cleansed for the frequently occurring haematoma patients. The death rate of the example was 17.4%, which was lower than 44%-71% reported elsewhere.

摘要

报告了378例颅脑损伤住院患者的CT观察结果。发现46例迟发性外伤性脑内血肿(DTICH)患者有71处血肿。DTICH的发生率为12.2%。80.7%的DTICH患者在受伤后48小时被发现。他们大多是中青年。血肿部位在受伤区域。颅内压连续监测有助于早期判断DTICH。对于有多处血肿和中央组织移位的患者建议进行手术。对于经常发生血肿的患者应清除血肿。该例的死亡率为17.4%,低于其他地方报道的44%-71%。

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