创伤性进行性硬脑膜外出血的发生时间与危险因素的回顾性分析

目的：回顾性分析创伤性进行性硬脑膜外出血的发生时间与危险因素。方法方便选取该院2011年10月—2015年10月收治的380例创伤性硬膜外血肿病患，分析创伤性进行性硬脑膜外出血的发生时间与危险因素，包括性别、年龄、CT检查距离受伤时间、血肿部位等。结果男性创伤性进行性硬脑膜外出血发生率（34.74%）多于女性（12.63%），病患年龄分布≤20岁、20~40岁、≥40岁创伤性进行性硬脑膜外出血发生率为20.72%、42.59%、82.24%；检查距离受伤时间<12 h、12~24 h、>24 h各个时间段创伤性进行性硬脑膜外出血发生率分别为38.89%、48.89%、12.22%，差异具有统计学意义（P<0.05）。结论创伤性进行性硬脑膜外出血受伤病患应尽早进行影像学CT头颅检查，男性及年龄较大病患应提高警惕。

Time of Occurrence and Risk Factors Retrospective Analysis of Traumatic Sexual Epidural Bleeding

Objective To retrospectively analyze time of occurrence and risk factors of traumatic sexual epidural bleeding. Methods Convenient selection 380 cases of traumatic epidural hematoma patients treated in our hospital from October 2011 to October 2015 were selected, traumatic sexual epidural bleeding time and risk factors were analyzed, including gender, age, CT examination distance injury time, hematoma, etc. Results Man traumatic dural hemorrhage incidence (34.74%) than women (12.63%), and patient age distribution is less than or equal to 20 years old, 20~40 years old, is more than or equal to 40 year old traumatic dural external bleeding rate for 20.72%, 42.59%, 82.24%; check the distance injury time < 12h, 12~24h, > 24 h each time segment of traumatic were dural external bleeding incidence was 38.89%, 48.89%, 12.22% re-spectively, and the difference is statistically significant (P< 0.05). Conclusion Traumatic sexual epidural bleeding injured patients should be head CT imaging examination as soon as possible, male and older patients should be vigilant.