重型颅脑损伤中基底节血肿的临床分析

目的分析重型颅脑损伤（sTBI）患者中,基底节血肿的临床特点、发病机制及预后影响因素。方法回顾本院2001年12月～2011年12月重型颅脑损伤（sTBI）患者中,CT扫描显示基底节血肿量≥2mL的病例31例,男24例,女7例,平均年龄39.5岁。所有患者均行CT扫描确诊。复查CT 18例显著扩大。结果恢复良好5例,中残6例,重残8例,植物状态2例,死亡10例。结论创伤性基底节血肿（TBGHs）是急性颅脑损伤后血肿逐渐扩大的动态损害过程。本组总体预后不良。血肿大于30mL,血肿扩大,合并其他颅内损伤或颅内压升高的患者,其预后更差。

Clinical analysis of traumatic basal ganglia hematomas in severly traumatic brain injury patients

Objective To analyze the clinical features, the pathogenesis and the influencing factor on prognosis of traumatic basal ganglia, hematomas （TBGHs） in severely traumatic brain injury （sTBI） patients. Methods The 31 cases heavy craniocerebral injury （sTBI） patients were reviewed in our hospital from December 2001 to December 2011, CT scan showed that basal ganglia hematoma quantity or 2 mL of cases, male in 24 cases, female in 7 cases, average age was 39.5 years. All patients were performed with CT scanning diagnosed. 18 cases significantly extend by reviewed CT. Results Good recovery in 5 cases, 6 cases of residual, heavy residual in 8 cases, vegetative state in 2 cases, 10 cases of death. Conclusion Traumatic basal ganglia hematoma （TBGHs） is acute craniocerebral injury after gradually expanding hematoma of the dynamic damage process. The overall prognosis. Hematoma more than 30 mL, hematoma enlargement, combined with other intracranial injury or intracranial pressure of the patients, and its prognosis is worse.