文档介绍:1 硬脑膜外血肿术后迟发性脑内血肿 16 例分析作者:宗海平,吕敏,孙军,宋富恩,夏国【关键词】硬膜外血肿术后; 外伤性迟发性脑内血肿;治疗[ 摘要] 目的: 探讨硬脑膜外血肿术后迟发性外伤性脑内血肿,随 CT 应用后, 报告日见增多, 值得临床重视。方法: 对本组 16 例硬脑膜外血肿术后出现的迟发性脑内血肿影像学及术中、术后表现进行分析。结果: 硬脑膜外血肿术后迟发性脑内血肿经 CT 扫描 16 例均得到证实。结论:伤后急性期内, 应高度重视硬脑膜外血肿并发迟发性脑内血肿的可能,及早复查 CT ,以确认迟发性脑内血肿的发生, 及时的处理,可明显提高疗效。[ 关键词] 硬膜外血肿术后; 外伤性迟发性脑内血肿; 治疗 Delayed Traumatic Intracerebral Hematoma of 16 Cases after Surgical Removal of Epidural Hematoma 2 Abstract:Objective To investigate 16 cases of delayedintracerebral hematoma after surgical removal of epidural Hematoma,deserve the clinic Analysing the images of the 16 cases delayedintracerebral hematoma after surgical removal of epidural hematoma , intraoperative atate and postoperative clinical The 16 cases delayedintracerebral hematoma were diagnosised by CT scanning after surgical removal of epidural We should think highly of delayed intracerebral hematoma after surgical removal of acute epidural curative effect may be improved if delayed intracerebral hematoma were diagnosised by CT scanning and treatment in time. Key words : After surgical removal of epidural Hematoma;Delayed traumatic intracerebral hematoma;Treatment 并发于硬膜外血肿术后的迟发性脑内血肿较少见, 我院从 1998 年7 月至 2005 年6 月共收治 16 例,现分析如下。 3 1 临床资料 一般资料男9 例,女 7 例,年龄 12岁~68 岁,平均 岁。 受伤原因车祸致伤 8 例,坠落伤 5 例,平地摔伤 3 例。 伤后意识变化无昏迷者 2例, 短暂昏迷后清醒者 8例, 再昏迷 3例,