硬膜外血肿增大的回顾性分析

目的 研究硬膜外血肿增大的临床规律.方法 回顾性地总结硬膜外血肿增大的发生率、对病情变化及近期疗效的影响,分析硬膜外血肿增大的预测因素.结果 24例(20 3%)患者发生血肿增大.血肿增大的患者病情加重及最终需要手术治疗的比例均明显高于无血肿增大的患者,两组患者出院时的治疗结果差异无统计学意义.血肿增大患者受伤到首次CT检查的时间、首次CT血肿量、入院时的血凝检查结果异常及饮酒嗜好者的比例均与无血肿增大患者存在明显差异.结论 急性硬膜外血肿增大的发生率较高,血肿增大对患者病情可造成不利影响,但不影响近期疗效,血肿增大预测因素有受伤到首次CT检查的时间、首次CT血肿量、血凝检查结果异常及饮酒嗜好.

Abstract：

Objective To study the clinical issues of progressive epidural hematoma ( PEDH ) .Method The incidence, impacts on clinical course and short-term outcomes and predictors of PEDH were retrospectively studied.Results PEDH occurred in 20.3% of the patients.The rates of neurological deterioration and surgical treatment due to the deterioration in patients with PEDH were significantly higher than those in patients without PEDH.There was not a significantly difference in short-term outcome between patients with and without PEDH.There was a significantly difference in the timing from injury to first CT scanning,volume of the hematoma on the first CT,rate of other intracranial injuries, hypocoagulability and heavy alcohol consumption between patients with and without PEDH.Conclusions The incidence of PEDH is 20.3% or more.PEDH is associated with neurological deterioration.But there is not a association between hematoma growth and poor clinical outcome.The time interval between injury and first CT scanning, volume of the hematoma on the first CT, hypocoagulability, heavy alcohol consumption appear to be independent predictors of hematoma growth.

Retrospective study on progressive epidural hematoma

Objective To study the clinical issues of progressive epidural hematoma ( PEDH ) .Method The incidence, impacts on clinical course and short-term outcomes and predictors of PEDH were retrospectively studied.Results PEDH occurred in 20.3% of the patients.The rates of neurological deterioration and surgical treatment due to the deterioration in patients with PEDH were significantly higher than those in patients without PEDH.There was not a significantly difference in short-term outcome between patients with and without PEDH.There was a significantly difference in the timing from injury to first CT scanning,volume of the hematoma on the first CT,rate of other intracranial injuries, hypocoagulability and heavy alcohol consumption between patients with and without PEDH.Conclusions The incidence of PEDH is 20.3% or more.PEDH is associated with neurological deterioration.But there is not a association between hematoma growth and poor clinical outcome.The time interval between injury and first CT scanning, volume of the hematoma on the first CT, hypocoagulability, heavy alcohol consumption appear to be independent predictors of hematoma growth.