CT诊断外伤性颅内血肿的临床价值

目的 探讨外伤性颅内血肿的ＣＴ表现的临床价值。方法 对２６例外伤性颅内血肿的血肿容积,部位,类型,血肿出现时间的评估与临床预后的相关性进行分析。结果 （１）颅内血肿容积与死亡率正相关,血肿大于６０ｍｌ,死亡率明显升高。（２）颞部外伤的死亡率最高,头部多部位外伤的死亡率大于单部位。（３）硬膜下血肿常合并脑挫伤,脑肿胀死亡率高于单发血肿。结论 颅内血肿ＣＴ检查在提供预测病人预后情况方面有很高的临床价值

Clinical Evaluation of CT Diagnose Traumatic Intracerebral Hematoma

Objective　To explore clinical evaluation ofCT pictices of traumatic intracerebral. Methods　The CT finding in 261 cases with traumatic intracerebralhematom are evaluated and analysed,incldingcubage,position,type,time. Results　①Cubage ofintracerebral hematoma relates positively with mortality,Mortality of (>60 ml)hematomais higher.②Mortalityof temporal trauma is the highest,multipositions of trauma are higher than single in deathrate.③Subduralhematom often combines cerebral contusion and tumesence,its mortality is higher thansingle hematoma. Conclusion　There is clinical valuable that CT examintion of traumaticintracerebral hematoma information.