探讨迟发性外伤性颅内血肿的临床特点和预后分析.doc

探讨迟发性外伤性颅内血肿的临床特点和预后分析 甘晓 南阳市中心医院 河南省473009 男 汉族 本科 1976.07.06 职称：中级 研究方向：神经外科 349987502@ [摘要]目的：探讨迟发性外伤性颅内血肿的临床特点和预后分析。方法：随机选取我院自2013年1月到2014年1月收治的迟发性外伤性颅内血肿68例患者的临床资料，采用系统回顾的方法对患者的临床病理表现、CT表现、治疗方法、随访记录等资料进行分析，评价患者的治疗效果及总结影响预后的因素。结果：经积极有效的治疗后，经标准的GOS健康评分制度评价：治疗疗效良好的患者30例，轻度残疾的患者18例，中度残疾的患者13例，重度残疾的患者5例，有死亡患者2例。与患者预后密切有年龄、确诊时间、GCS评分、瞳孔变化、基底受压程度等5个影响因素。结论：迟发性外伤性颅内血肿患者的临床特点显现多变性，及早的确诊、积极治疗是患者康复的关键；其预后与患者的年龄、确诊时间、GCS评分、瞳孔变化、基底受压程度等有密切的关系，治疗过程中应当给予重视和积极应对。 [关键词] 迟发性颅内血肿；外伤性颅内血肿；临床特点；预后分析； Investigate the clinical characteristics and anaiysis of prognosis in patients with delayed traumatic intracranial hematoma [Abstract] Objective: To investigate the clinical features and prognosis of delayed traumatic intracranial hematoma. Methods: A retrospective analysis of our hospital from January 2013 to January 2014 admitted delayed traumatic intracranial hematoma in 68 patients clinical data on patients Clinical pathology, CT manifestations, treatment, follow-up records and other data analysis systems science, prognostic factors and treatment evaluation of patients affected summarized. Results: The positive and effective treatment, by a standard scoring system GOS health assessment: good efficacy in patients with treatment of 30 patients, 18 patients with mild disability, 13 cases of patients with moderate disability, severe disability, 5 patients with patient died two cases . And patient prognosis were age, diagnosis time , GCS score, five factors pupillary changes, the extent of the base pressure. Conclusion: The clinical features of delayed traumatic intracranial hematoma in patients with apparent variability, early diagnosis, aggressive treatment is the key to the rehabilitation of patients; their prognosis and the patients age , diagnosis time, GCS score, pupillary changes, the extent of the base pressure so have a close relationship, the course of treatment should be given attention and positive response. [Keyword] delayed intracranial hematoma; tr