引用本文:唐志清，胡继忠，廖世保，蒋永祥，李艳红，苏润秀.外伤性迟发性颅内血肿33例诊治体会[J].中国临床新医学,2013,6(12):1204-1206.
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外伤性迟发性颅内血肿33例诊治体会
唐志清，胡继忠，廖世保，蒋永祥，李艳红，苏润秀
541299　广西，桂林市灵川县人民医院神经外科
摘要:
［摘要］　目的　探讨外伤性迟发性颅内血肿的发病机制、早期诊断及治疗措施。方法　回顾性分析该院33例外伤性迟发性颅内血肿的临床资料。结果　全组33例，采取保守治疗13例，手术治疗20例，随访3～6个月，按照GOS评价预后恢复良好21例，中残4例，重残3例，植物生存1例，死亡4例。结论　如能做到早期诊断、及时治疗，可以降低外伤性迟发性颅内血肿的病死率和致残率，提高抢救的成功率和改善患者预后。
关键词:  外伤性迟发性颅内血肿  早期诊断  治疗
DOI：10.3969/j.issn.1674-3806.2013.12.26
分类号:R 651
基金项目:
Experience in diagnosis and treatment of 33 cases of traumatic delayed intracranial hematoma
TANG Zhi-qing,HU Ji-zhong,LIAO Shi-bao,et al.
Department of Neurosurgery,Lingchuan People′s Hospital,Guangxi 541299,China
Abstract:
［Abstract］　Objective　To investigate the pathogenesis, early diagnosis and treatment measures of traumatic delayed intracranial hematoma(DTICH).Methods　The clinical data of 33 patients with DTICH was retrospectively analyzed.Results　The patients were followed up for 3～6 months.According to GOS evaluation prognosis,good recovery was found in 21 cases,moderate disability in 4 cases,severe disability in 3 cases,plant survival in 1 case,death in 4 cases.Conclusion　Early diagnosis and timely treatment can reduce the mortality and morbidity rate of DTICH,improve rescue success rate and improve patients′ prognosis.
Key words:  Traumatic delayed intracranial hematoma(DTICH)  Early diagnosis  Treatment