论文部分内容阅读
目的探讨颅脑外伤后亚急性期脑出血的发病规律和防治对策。方法对16例亚急性期(受伤3d后)外伤性脑出血患者的临床资料进行回顾性分析。按起病快慢分:缓慢发展8例,多为挫裂伤灶的继发出血或小血肿扩大;急骤起病5例,以及猝死2例,为短期内大量出血且致脑疝;开颅手术8例。结果按伤后3个月GOS预后评分:治愈7例,中残4例,重残1例,死亡4例。结论外伤后亚急性期脑出血要警惕外伤性动脉瘤破裂,尤其是受伤1周后的短期大量出血;1周内的缓慢出血多属小血管的迟发出血。
Objective To investigate the incidence and prevention and treatment of subacute cerebral hemorrhage after traumatic brain injury. Methods The clinical data of 16 patients with traumatic intracerebral hemorrhage in subacute stage (3 days after injury) were analyzed retrospectively. According to the onset of disease points: the slow development of 8 cases, mostly contusion lesion secondary hemorrhage or small hematoma enlargement; sudden onset in 5 cases, and sudden death in 2 cases, for a large number of bleeding within a short period and cause hernia; craniotomy 8 cases. Results According to GOS prognosis score 3 months after injury, 7 cases were cured, 4 cases were moderate disability, 1 case was severe disability, and 4 cases died. Conclusion Subacute cerebral hemorrhage after trauma should be wary of traumatic aneurysm rupture, especially short-term massive bleeding after 1 week of injury; slow bleeding in one week is mostly delayed bleeding of small blood vessels.