| 急性颅内血肿清除后继发对侧血肿的处理策略 |
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| 引用本文： | 钟文军,肖国才,全伟.急性颅内血肿清除后继发对侧血肿的处理策略[J].广州医药,2003,34(5):13-14. |
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| 作者姓名： | 钟文军 肖国才 全伟 |
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| 作者单位： | 广州市第一人民医院神经外科,510180 |
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| 摘 要： | 目的：探讨急性外伤性颅内血肿清除的术中术后继发对侧颅内血肿的临床处理策略。方法：回顾性分析20例急性外伤性颅内血肿清除的术中术后继发对侧颅内血肿的病人，总结各种临床处理措施。结果：20例对侧迟发血肿病人中，6例死亡，死亡率为33．3％，结论：在清除急性外伤性颅内血肿时发生脑肿胀或术后病情恶化应想到对侧迟发血肿形成，及早钻颅探查或复查CT，发现血肿及时处理，改善预后。
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| 关 键 词： | 颅内血肿 脑肿胀 钻颅探查术 头颅CT检查 血肿清除术 去骨瓣减压术 |
| 修稿时间： | 2003年5月30日 |
Management of contralateral delayed hematoma after acute intracranial hematoma evacuation |
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| Zhong Wenjun,Xiao Guocai,Quan Wei,et al..Management of contralateral delayed hematoma after acute intracranial hematoma evacuation[J].Guangzhou Medical Journal,2003,34(5):13-14. |
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| Authors: | Zhong Wenjun Xiao Guocai Quan Wei |
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| Institution: | Zhong Wenjun,Xiao Guocai,Quan Wei,et al. Department of Neurosurgery,the First Municipal People' s Hospital of Guangzhou,Guangzhou 510180 |
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| Abstract: | Objective: To summarize the management of contralateral delayed hematoma after acute intracranial hematoma evacuation. Methods: Retrospective analysis 20 patients of contralateral delayed hematoma after acute intracranial hematoma evacuation and clinical treating methods. Results: 20 patients of contralateral delayed hematoma were evacuated with 6 patients died. The mortality was 33.3%. Conclusion: On time burr hole and repeat CT scan will improve the prognosis of acute operative brain swelling and postoperative deterionrationg patients. |
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| Keywords: | Delayed intracranial hematoma Acute brain swelling Operation |
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