急性外伤性颅内血肿的非手术治疗

本文报道我部163例急性外伤性颅内血肿非手术治疗,主要依据是 CT 检查和临床表现,影响因素及指征主要是血肿大小、部位、形态、发展速度、并发脑组织损伤情况、中线结构位移、脑池的改变、年龄、受伤时间等。

Nonoperativc Management of Acute Traumatic Intracranial Hematoma

163 cases of acute traumatic intracranial hematomas with nonoperative management, depended on CT findings and clinical manefestations,have been reviewed.It concluded that the patient suffering from acute traumatic intracranial hematoma did ont always need to be treated surgecally.We consider that the prognostic factors and indications of conser- vative treatment for this patient should include the size,location,morphologic examination and accumulative speed of the hematoma;concomitant cerebral injurys,midline shift and cisternal charge;age,ingury time,intracranial pressure and clinical manefastation of the pa- tient.During the period of conservative treatment,carefully observation are needed for conscieousness,pupil,pulse,respiration,blood pressure and the sign of nerve system of the patient.