外伤性颅内血肿332例分析

本文分析了从1980～1987年我院收治的外伤性颅内血肿332例。其中111例人院时已发生脑疝。本组总死亡率为16.9％。不同类型的血肿死亡率:特急型57.1％,急性型9.3％,亚急型无死亡。硬膜外血肿3.8％,硬膜下血肿39.1％,脑内血肿7.5％,多发性血肿27.9％,脑室内血肿50％。作者认为CT检查对脑室内血肿、小脑内血肿和基底节区血肿的诊断有重要意义,并强调了动态的CT观察的必要性,特别对迟发性血肿和多发性血肿尤为重要。此外,为了降低死亡率,应加强对并发症的防治和对脑损伤的治疗。

AN ANALYSIS OF 332 CASES OF TRAUMATIC INTRACRANIAL HEMATOMA

This paper presents 332 cases of traumatic intracranial hematoma treated at Shenyang command general hospital during the period from October 1980 to October 1987. Among them, 111 cases had brain hernia at the time of admission. The overall mortality was 16.9%, of which 'supra-acute type' (brain hernia occurred within 3 hours after trauma) was 57.1%, acute type 9.3%, and subacute type was zero. The mortality of epidural, subdural, intracerebral, multiple and intraventricular hematoma, were 3.8%, 39.1%. 7.5%, 27.9% and 50%, respectively. The authors believe that CT scan playsa decisive role in the diagnosis of intraventricular, intracerebellar, and basal ganglionic hemaloma, since without CT it can not be diagnosed. In addition, the authors hold that successive observation of patients with CT scans is also of utmost importance, particularly for those with delayed and multiple he-matomas. Furthermore, take every measures to prevent complications and adequate management of brain iniury itself were other two factors in decreasing the mortality of traumatic intracranial hematoma.