中、老年人外伤性迟发性颅内血肿临床分析

引用本文：	张银清,陈汉民,黄国河,余锦刚,尹家和.中、老年人外伤性迟发性颅内血肿临床分析[J].中国现代医学杂志,2004,14(15):97-98,101.
作者姓名：	张银清 陈汉民 黄国河 余锦刚 尹家和
作者单位：	福建省泉州市解放军第180医院神经外科 福建泉州362000 (张银清，陈汉民，黄国河，余锦刚)，福建省泉州市解放军第180医院神经外科 福建泉州362000(尹家和)
摘    要：	目的探讨中老年外伤性迟发性颅内血肿发病机制、临床及CT特点。方法对我科收治的56例中老年外伤性迟性颅内血肿临床资料进行分析。结果56例患者均因病情无好转或恶化行头颅CT复查确诊，其中9例行保守治疗，1例在保守过程中病情加重转手术治疗，其余47例头颅CT示占位明显，中线移位行手术开颅。按GOS预后评分，恢复良好29例，中残15例，重残5例，植物生存2例，死亡5例，死亡率9．1％。结论DTICH迟发性颅血肿以中老年颅脑损伤患者多见，行头颅CT动态复查可确诊早诊断、早治疗可改善患者预后．晋江市中医院脑外科张银清
关 键 词：	迟发性颅内血肿 颅脑损伤 中老年 CT
文章编号：	1005-8982(2004)15-0097-02
Clinical analysis of delayed traumatic intracerebral hematoma in middle and old aged patients
ZHANG Yin-qing,CHEN Han-min,HUANG Guo-he,YU Jin-gang,YIN Jia-he.Clinical analysis of delayed traumatic intracerebral hematoma in middle and old aged patients[J].China Journal of Modern Medicine,2004,14(15):97-98,101.
Authors:	ZHANG Yin-qing CHEN Han-min HUANG Guo-he YU Jin-gang YIN Jia-he
Abstract:	Objective: To explore the pathogenesis clinical and the CT test features in middle and old aged patients with delayed traumatic intracranial hematomas (DTICHs). Methods: 56 cases of DTICHs in middle and old patients were analyzed. Results: 56 cases were definitely diagnosedby by dynamic CT head scanning, 9 cases received conservative therapy, the rest received operation because of the severe occupation in CT scanning. The therapy results were graded with GOS. Among the results, 29 cases were healed satisfactorily, 15 cases were mild disabled, 5 cases were dead (mortality rate was 9.1%). Conclusions: DTICHs can be definitely diagnosed through dynamic CT head scanning in middle or old patients. The aftermath of the DITCHs can be improved.
Keywords:	delayed intracerebral hematoma cerebral injury middle and old aged patients CT