硬膜外血肿手术治疗及预后相关因素分析研究

目的 总结硬膜外血肿的治疗情况,分析预后相关因素.方法 对1996年9月～2009年3月西昌市人民医院外三科病房急诊手术治疗的1113例硬膜外血肿患者的资料收集整理,进行统计分析.结果 术后结果与以下因素相关,包括患者的年龄、是否合并损伤、血肿量、术前意识、GCS评分、瞳孔、脉搏、呼吸、血压以及术中出血量.最有意义的预测指标包括是否双瞳散大、是否合并颅内其他损伤、年龄.结论 手术应尽量赶在双瞳散大之前进行.年龄大的或伴有脑挫伤或硬膜下出血的患者更应给予关注.

Analysis of the surgical treatment olltconle - related factors for epidural hematonm

Objective To summarize the epidural hematoma treatment,the authors analyse the prognosis related factors. Methods From Sep 1996 to Mar 2009 feeding stuff industry. Xichang became people＇s hospital ward three emergency surgical treatment outside the 1113 cases of epidural hematoma data were collected and analyzed. Results The results and the following factors,including the patients＇ age, whether the merger injury, hematoma quantity, preoperative consciousness, GCS score, pupil, blood pressure and pulse and respiration, peri - operative bleeding. The most significant predictor include whether double pupil comes loose big,whether the merger intracranial other damage, age. Conclusion surgical should try＂ to drive in double pupil comes loose big before. Older or associated with brain trauma or subdural hemorrhage patients should be given more attention.