重度颅脑损伤继发的迟发颅内血肿预后质量关联重点解读.doc

重度颅脑损伤继发的迟发颅内血肿预后质量关联分析 [摘要]目的：探讨重度颅脑损伤继发的迟发颅内血肿的临床特点、治疗方法和预后情况。方法：回顾性总结我院收治的重度颅脑损伤患者98例资料。结果：老年人（60岁）术后出现迟发性颅内血肿并发症比例为52.1%，脑部挫伤和蛛网膜下腔出血患者术后出现迟发性颅内血肿并发症比例分别为41.7%和37.5%，高血压患者术后出现迟发性颅内血肿并发症比例为79.2%，均明显高于未出现并发症患者相应比例（P0.05）。结论：重度颅脑损伤患者在开颅手术治疗后存在较高的颅内血肿发生率，发病危险因素包括年龄、高血压、蛛网膜下腔出血和脑挫伤，对于存在危险因素的重度颅脑损伤患者治疗过程中应密切监视，提高治疗预后效果。 [关键词]重度颅脑损伤，预后，脑挫伤 Delayed intracranial hematoma prognosis quality correlation analysis secondary severe craniocerebral injury [Abstract]Objective: To investigate the secondary severe craniocerebral injury delayed intracranial hematoma of the clinical features, treatment and prognosis. Methods: Reviewing 98 patients retrospectively in our hospital with severe craniocerebral injury.results: elderly patients (aged 60) postoperative delayed intracranial hematoma complication rate was 52.1%, in patients with brain contusions and subarachnoid hemorrhage after delayed intracranial hematoma complication rates were 41.7% and 37.5%, hypertensive patients with postoperative delayed intracranial hematoma complication rate was 79.2%, markedly no complications were higher than the corresponding proportion(P0.05), conclusion: severe head injury patients have higher incidence of intracranial hematoma after craniotomy operation treatment, risk factors include age, hypertension, subarachnoid hemorrhage and cerebral contusion, for the existence of risk factors for severe craniocerebral injury patients in the process of close monitoring, improve the therapeutic [Keywords]severe craniocerebral injury, prognosis, brain contusion 迟发颅内血肿是重度颅脑损伤患者比较常见的继发症状之一，出现颅内血肿继发反应的患者有较高的致残率和死亡率，严重危害患者的生命健康，因此，及早的发现和确诊并进行有效的治疗对挽救患者的生命具有重要的临床意义[1-3]，为了探讨重度颅脑损伤继发的迟发颅内血肿的病因以及治疗预后效果，笔者回顾性总结了我院收治的重度颅脑损伤继发的迟发颅内血肿患者98例资料，现将总结结果报道如下： 1资料与方法 1.1一般资料 本研究资料对象来自于2003年1月-2013年7月期间我院收治的重度颅脑损伤继发的迟发颅内血肿患者98例资料，其中包括男性70例和女性28例，年龄范围为30岁-75岁（年龄资料符合正态分布），平均年龄为（50.3±22.1）岁，统计资料入选标准：所有纳入研究的患者临床前均经过影像学诊断（患者CT影像学扫查结果符合开颅血肿清除手术的手术指征），结果确诊为重度颅脑损伤，患者入院后经家属询问致伤原因为：交通事故致重度颅脑损伤者53例，遭受异物打击致重度颅脑损伤者27例，高空坠落导致重度颅脑损伤者14例，跌