急性颅脑损伤术后非术区迟发出血的临床分析及防治

目的探讨急性颅脑损伤术后非术区迟发出血的原因及防治。方法回顾我院2006年1月～2011年12月收治的30例颅脑损伤患者,为术中发现颅压下降后再次升高,而术区无出血,或术后1d内患者意识加深,复查CT时非术区迟发出血,并具备手术指征而再次手术。结果根据GOS评分,治愈12例,轻残13例,中残3例,重残1例,死亡1例。结论早期诊断和及时治疗,尤其是在非手术区迟发出血引起的脑疝之前,并提高手术操作水平,这是提高治愈率、降低病死率的关键。

Analysisand Treatment of the cause of hemorrhage in non-operation area after acute head injury

Objective To analyze the cause of delayed hemorrhage in non-operation area after acute head injury and the treatment.Methods The clinical data of 30 cases of acute head injury from January 2006 to December 2011 were reviewed.The cause of delayed hemorrhage and the treatment results were analyzed.Results According to GOS,12 cases acquired complete rehabilitation,13 cases survived only as light handicap,3 cases mild handicap,1 case severe handicap and 1 case died.Conclusion It’s the key point to improve the prognosis greatly by early diagnosis and management,especially before the brain herniation.