【摘要】 目的提高对迟发性外伤性颅内血肿(DTICH)临床诊治的认识。方法对600例颅脑外伤病例回顾性分析,发现颅内迟发血肿38例。结果本组38例外伤性颅内迟发血肿于伤后6～24h发现迟发血肿11例,24～48h13例,48～72h10例,72h～6d4例,伤后72h为迟发血肿形成高峰(89.4%)。本组手术清除血肿及去骨瓣减压22例,保守治疗16例。死亡6例,植物生存1例,重残2例,轻残2例,良好27例。结论外伤性迟发性颅内血肿无特异性临床表现,伤后3d内应常规CT不定期扫描动态观察,早期诊断手术效果确切。更多还原

【Abstract】 Objective To improve the recognition of trauma sluggish internal carnium haenatoms. Methods Retrospectively clinical analysis of 600 cases of internal cranium haematoms to find 38 of all. Results Within the first 6～24h of patients, found 11 cases of them trauma haematoms. During the first 24～48h 13 cases increased, after 48～72h left 10 cases,after 72h～6 days left 4 cases. After 72h’s injury it reached high peak (89.4%). In this group,22 cases eliminate haematoms and bone frament cranium pressure. 16 cases had conservative treatment. Six cases of all died, one case of all live vegetablely, two cases of all with heavy disabilities, two cases with light disabilities,26 cases with good normality. Conclusion There is no speciality of clinical display of sluggish trauma internal carlid haematoms. During the first 3 day’s stroke,patients should be scanned by CT routinely and regularly with early diagnosis and operation and get good results.更多还原