196例外伤性多发性颅内血肿的治疗和预后分析

目的探索外伤性多发性颅内血肿临床表现的特点、早期诊断、治疗方法。方法回顾分析我院自2003年1月至2006年12月收治的196例外伤性多发性颅内血肿的临床资料。结果在对比保守治疗的基础上,认为手术是最主要的治疗手段。结论外伤性多发性颅内血肿的临床特点表现为病情重、急、变化快,意识状态及其变化快,作为制订治疗方案的首要因素,血肿的大小、位置、大脑中线的移位和病人的神经功能状况决定了手术时机和手术方案。

Treatment and prognosis of traumatic multiple intracranial hematoma: analysis of 196 cases

Objective To study the treatment and prognosis of traumatic multiple intracranial hematoma (TMIH). MethodsThe clinical data of 196 patients with TMIH, 125 males and 71 females, aged 37.4 (5~74), were analyzed. 102 patients underwent conservative treatment, and 94 patients underwent operation, including 63 cases of unilateral operation and 31 cases of bilateral operation. Good outcome was seen in 82 cases. Moderate disability was seen in 37 cases and severe disability was seen in 25 cases. 35 patients died after operation. 17 cases survived in persisted vegetable state. ConclusionOperation is more effective in the treatment of TMIH. The time and pattern of operation depend on the specific clinical features.