Delayed traumatic intracerebral hematoma Pathogenesis and Treatment.docVIP

 PAGE \* MERGEFORMAT 11 Delayed traumatic intracerebral hematoma Pathogenesis and Treatment [Abstract] Objective To investigate delayed traumatic intracranial hematoma (DTIH) pathogenesis provide a basis for clinical treatment. Methods A retrospective analysis of our hospital in January 2005 ~ December 2009 3758 cases of head injury admitted in through clinical observation and CT diagnosis of 286 cases DTIH cases. through clinical observation of the outcome after treatment. DTIH results in 286 cases, head injury within 6 ~ 24 h later there were 160 cases (55.9%), 24 ~ 72 h in with 89 cases (31.1%), 72 h or more, 37 patients (12.9%). good recovery after treatment of 165 cases (57.7%), mild disability in 39 cases (13.6%), moderate disability in 27 cases (9.4 %), severe disability in 17 patients (5.9%), plant survival of 9 patients (3.1%), death in 29 cases (10.1%). Conclusion DTIH occurred in patients within 3 days after injury, traumatic brain injury patients by dynamic CT examination, early detection and timely treatment is to reduce death in patients with residual rate DTIH key. [Keywords:] traumatic intracranial hematoma in the pathogenesis of delayed treatment Delayed traumatic intracerebral hematoma (delayed tramnatie intracranial hematonta DTIH) is the first time after the brain injury was no hematoma CT examination, CT examination in the subsequent hematoma was found, or no hematoma in the original discovery of new hematoma , this phenomenon can be found in a variety of traumatic intracranial hematoma. forming mechanism is not very clear, [1] may be due to vascular injury was traumatic, but not full-thickness rupture, which CT examination was bleeding; as injury after injury carbon dioxide caused by local accumulation of by-products of enzyme release and cerebral vascular spasm and other factors, making the already inadequate blood vessel wall rupture and hemorrhage, delayed hematoma formation. [2] The major causes of morbidity and brain con