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目的:探讨颅脑损伤术后各类型继发脑内出血的发生机制、临床特征、救治方法。方法:回顾性分析12例颅脑伤术后继发脑内出血的发生部位,与脑挫裂伤的关系。结果:根据GOS标准:良好3例,中残3例,重残2例,死亡4例。结论颅脑伤术后发生意识恶化及减压窗外膨明显且张力较高应考虑继发脑内出血的形成,并及时复查头颅CT,及早治疗可改善预后。
Objective: To investigate the pathogenesis, clinical characteristics and treatment of various types of secondary intracerebral hemorrhage after craniocerebral injury. Methods: Retrospective analysis of 12 cases of craniocerebral injury occurred after the occurrence of intracerebral hemorrhage site, and brain contusion and laceration. Results: According to the GOS criteria, 3 were good, 3 were moderate disability, 2 were severe disability and 4 were death. CONCLUSIONS: The deterioration of consciousness after craniocerebral injury and obvious swelling of window of decompression window should be considered. The formation of secondary intracerebral hemorrhage should be considered, and cranial CT should be reviewed in time. Early treatment can improve the prognosis.