急性颅脑损伤术后继发对侧迟发性血肿的诊断及治疗

目的探讨如何及时发现颅内迟发性血肿并及时治疗，提高疗效，改善患者预后。方法对我院8年间收治的38例迟发性外伤性颅内血肿病人的临床资料，进行回顾性分析和总结。结果本组38例对侧迟发性血肿均行手术治疗，良好、正常生活2例；轻中度伤残、生活能自理18例；生活不能自理、重度残疾10例；植物生存状态3例；死亡3例；有2例自动出院。结论急性颅脑外伤血肿清除术后继发对侧迟发性血肿形成有可预见性因素和明显临床特点，对有高危因素者，应考虑有迟发性颅内血肿形成可能，术前应作好对侧开颅的准备，术后宜动态复查CT，加强观察和监护，早诊断早治疗以改善预后。

The diagnosis and treatment for secondary contralateral delayed intracranial hematoma following acute craniocerebral trauma operations

Objective To explore the timely detection of delayed intracranial hematoma, and timely treatment to improve patient prognosis. Methods A restrospecitve study was carried out on the clinical data of 38 cases of delayed traumatic intracranial hematoma during the past 8 years at our hospital. Results The group of 38 patients with contralateral delayed hematoma underwent surgical treatment, after operation, the patients had good and normal life in 2 cases; mild to moderate disability and live independently in 18 cases; severe disability and not being able to take care of themselves in 10 cases of; vegetative state in 3 cases; death of 3 cases; 2 cases left the hospital. Conclusion The formation of secondary contralateral delayed intracranial hematoma following acute craniocerebral trauma operations has itspredictability factors and obvious clinical characteristics, those who have risk factors should be considered a potential delayed intracranial hematoma formation and should be prepared for contralateral craniotomy preoperatively, dynamic CT, to enhance observation and monitoring should be carried out for early diagnosis and treatment.