外伤性进展性颅内血肿的诊断和治疗

目的探讨外伤性进展性颅内血肿的临床特点，总结其发病机制及诊断、治疗方法。 方法选取自2011年1月至2015年12月中国人民解放军第二五一医院神经外科收治的97例外伤性进展性颅内血肿的临床资料进行分析。 结果本组97例占同期外伤性颅内血肿的15.3%，手术63例，死亡7例；保守治疗34例，死亡1例，总死亡率8.2%。 结论外伤性进展性颅内血肿临床意义重大，绝不能仅仅依赖首次CT结果即制定一成不变的治疗方案，而应进行动态观察和CT监测，根据患者血肿量的变化及时调整治疗方案。

Diagnosis and treatment of traumatic progressive intracranial hematomas in 97 cases

ObjectiveTo investigate the clinical feature of traumatic progressive intracranial hematomas and summarize its occurrence, mechanism, diagnosis and treatment. MethodsRestrospectively analysed 97 cases of traumatic progressive intracranial hematoma hospitalizd in our hospital from Jan. 2011 to Dec. 2015. ResultsThere are 97 cases traumatic progressive intracranial hematomas in total traumatic intracranial hematomas, the morbidity is 15.3%, 63 patients treated with operation in which 7 patients died; 34 patients treated without operation in which 1 patient died, the mortality rate is 8.2%. ConclusionIt is very important to recognize the progressive intracranial hematoma and it is mistaken to draw up a invariable cure plan only according to the first CT scan of head. It is right to regulate the cure plan according to the changes of the patient’s hematomas and observe the changes of patients and to supervise the CT scan of head.