外伤性颅内血肿术后迟发性血肿的分析

目的：探讨外伤性颅内血肿清除术后继发迟发性血肿的诊治方法。方法：对38例术后迟发性血肿患者进行回顾性分析，总结其形成原因、临床特征、防治措施及疗效。结果：术后近期死亡11例，病死率28．9％；植物生存2例，重残5例，轻残6例，恢复正常14例。随访3月－3年，健在20例。结论：在清除急性外伤性颅内血肿时，发生急性脑肿胀或术后病情恶化，应考虑可能有迟发性血肿形成，宜尽早钻颅探查或复查CT，早诊早治可改善预后。

Occurrence of Delayed Hematoma after Traumatic Intracranial Hematoma Evacuation

Objective To explore the methods of diagnosis and management of postoperative traumatic delayed intracranial hematoma. Methods Retropective analysis had been made of 38 patients with delayed intracranial hematoma and the cause of its formation clinical features,measures of diagnosis management,and curative results were discussed. Results Thirty-eight patients with delayed hematoma were evacuated with 11 deaths,the operative mortality was 28.9%.Two patients were living in persistent vegetative state,5 with severe deficits,6 with slight disability and 14 patients reco_ vered. Conclusion Burring hole and repeat CT scan on time will improve the prognosis in patients with acute operative brain swelling and postoperative deterioration.