外伤性基底节区血肿23例临床分析

目的探讨外伤性基底节区血肿的发病机制、临床特点、诊断及治疗方法。方法回顾性分析23例外伤性基底节区血肿病人的病史、临床表现、影像学和治疗经过。结果伤后6个月按GOS评分：良好8例，中残6例，重残4例，植物生存2例，死亡3例。结论CT是外伤性基底节区血肿的首选检查方法，其发病率较低，但致残率较高，只要早期诊断，积极进行恰当的治疗，大部分病人预后较好。

Clinical Analysis of Traumatic Hematomas of Basal Ganglia Regions in 23 Patients with Craniocerebral Injury

Objective To study the pathogenesis, clinical characteristics, diagnosis and treatment of the traumatic hematomas of basal ganglia regions （THBGR）. Method The clinical data of 23 patients with THBGR including disease history, clinical manifestations, imaging and treatment course were analyzed retrospectively. Results Of 23 patients with THBGR, 8 were recovered well, 6 moderately disabled, 4 severe disabled, 2 vegetatively survived and 3 died according to GOS 6 months after the injury. Conclusions CT should be first selected to diagnose THBGR. The incidence of THBGR is low, but the disabled rate of the patietns with THBGR is high in the patients with traumatic brain injury. The prognosis in the patients with THBGR will be good if the diagnosis is early established and the active and proper treatment is performed.