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急性颅内血肿清除后继发迟发血肿
引用本文:陈文荣,张增良,吴育典,杨少锋,郑伟武. 急性颅内血肿清除后继发迟发血肿[J]. 齐齐哈尔医学院学报, 2002, 23(6): 609-609
作者姓名:陈文荣  张增良  吴育典  杨少锋  郑伟武
作者单位:汕头大学医学院第二附属医院神经外科,515041
摘    要:目的:急性外伤性颅内血肿清除的术中及术后,如及时发现迟发血肿并治疗可提高疗效。方法:在术中发生急性脑肿胀时应考虑再开颅探查或术后病人恶化时行CT检查。结果:治疗42例迟发血肿病人其中死亡14例,死亡率33.3%。结论:在清除急性外伤性颅内血肿时发生急性脑肿胀或术后病情恶化时应想到可能是迟发血肿形成,宜尽早开颅探查或复查CT,早诊早治可改善预后。

关 键 词:急性颅内血肿 继发迟发血肿 预后 CT 诊断 治疗

Occurrence of Delayed Hematoma after Acute Intracranial Hematoma Evacuation
Chen Wenrong,et al.. Occurrence of Delayed Hematoma after Acute Intracranial Hematoma Evacuation[J]. Journal of Qiqihar Medical College, 2002, 23(6): 609-609
Authors:Chen Wenrong  et al.
Abstract:Objective To increase the operative effectiveness by on time diagnosis and management of intra- and postoperative delayed intracranial hematoma. Methods Burr hole were done and CT scan was performed in postoperative deteriorating patients. Results 42 patients of delayed hematoma were evacuated with 14 patients died. The mortality was 33.3%.Conclusions On time Burr hole and repeat CT scan will improve the prognosis of acute operative brain swelling and postoperative deteriorating patients.
Keywords:Delayed intracranial hematoma Acute brain swelling Prognosis
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