【作者】 郑绍俭； 邱政； 熊建平； 陈晟；

【Author】 Department of Neurosurgery,The first people,s hospital of Jiande,Zhejiang,311600 Zheng shaojian Qiu zheng Xiong jianping

【机构】 浙江省建德市第一人民医院脑外科；

【摘要】 目的探讨颅脑外伤后进展性出血损伤的发生机制、诊断和治疗。方法对我院2005年1月～2009年12月收治的98例颅脑外伤后进展性出血性损伤患者进行回顾性分析。结果颅脑外伤后进展性出血性损伤患者占同期收治颅内血肿的10.8%,手术治疗66例,恢复良好42例,中残10例,重残3例,植物生存1例,死亡8例;非手术治疗32例,恢复良好21例,中残3例,重残2例,死亡6例。结论颅脑外伤后进展性出血损伤的发生和多种机制有关,在不可逆性神经损伤发生之前早期诊断出PHI,以及时治疗,可以减少死亡率和致残率。更多还原

【Abstract】 Object To explore the machine-processed,diagnosis and treatment of progressive hemorrhagic injury after brain injury.Methods A restrospective analysis of 98 patients occurring progressive hemorrhagic injury after brain injury from January 2005 to December 2009 was undertake. Results The patients of progressive hemorrhagic injury after brain injury occupy 10.85 of the corresponding period brain bleeding.Operating patients were 66 cases,was good in 42 cases,moderate deficit in 10,severe deficit in 3,vegetable state in 1 and dead in 8.Conservative treatment were 32 cases,was good in 21 cases,moderate deficit in 3,severe deficit in 2 and dead in 6.Conclusion there were varied machine-processed in progressive hemorrhagic injury after brain injury,treatment in time before irreversible nerve injury would reduce the rate of dead an disable.更多还原