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目的总结急性外伤性颅内血肿的临床治疗体会,探讨降低死亡率及致残率的切实可行方法。方法回顾性分析鹤煤集团总医院2005年6月至2008年6月救治的65例急性外伤性颅内血肿患者的临床资料。结果65例患者均行手术治疗,治愈56例,死亡9例。结论急性外伤性颅内血肿患者发病后应及早去骨瓣减压加颅内血肿清除,同时控制脑水肿,防止肺部感染及多器官功能衰竭,降低死亡率,提高生存率。
Objective To summarize the experience of clinical treatment of acute traumatic intracranial hematoma and to explore practical ways to reduce mortality and morbidity. Methods The clinical data of 65 patients with acute traumatic intracranial hematoma who were treated in Hebi Coal Group General Hospital from June 2005 to June 2008 were retrospectively analyzed. Results All the 65 patients underwent surgical treatment, 56 cases were cured and 9 died. Conclusions Patients with acute traumatic intracranial hematoma should be treated with decompressive craniectomy and intracranial hematoma as soon as possible. At the same time, cerebral edema should be controlled to prevent lung infection and multiple organ failure, reduce mortality and increase survival rate.