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目的探讨外伤性迟发性颅内血肿的发病机制、诊断与治疗。方法通过对忠县人民医院近10年来共收治63例外伤性迟发性颅内血肿的诊治经过进行回顾性分析。结果通过临床严密观察及复查CT,确诊为外伤性迟发性颅内血肿63例,手术49例,非手术治疗14例,恢复良好31例,重残10例,中残14例,死亡8例,病死率12.7%。结论外伤性迟发性颅内血肿多发生在伤后24h内,脑挫裂伤和颅骨骨折是其病理基础,动态临床观察,复查CT,早期诊断,及时治疗,是降低病死率、提高治愈率、改善生存质量的关键。
Objective To investigate the pathogenesis, diagnosis and treatment of traumatic delayed intracranial hematoma. Methods Twenty-three cases of delayed traumatic intracranial hematoma were admitted to Zhongxian People’s Hospital in the past 10 years for retrospective analysis. The results of clinical close observation and review of CT, confirmed traumatic delayed intracranial hematoma in 63 cases, 49 cases of surgery, non-surgical treatment of 14 cases, 31 cases of good recovery, severe disability in 10 cases, disability in 14 cases, 8 cases of death , Fatality rate 12.7%. Conclusion Traumatic delayed intracranial hematoma occurred mostly within 24 hours after injury. Brain contusion and skull fracture were the pathological basis. Dynamic clinical observation, CT examination, early diagnosis and prompt treatment were the effective measures to reduce the mortality and improve the cure rate , The key to improving the quality of life.