【摘要】 目的 探讨急性外伤性颅内血肿清除术后并发迟发性血肿的原因、预见及处理。方法 2004年9月至2008年4月对22例患者的再次手术和保守治疗。结果 恢复良好的6例,中残4例,重残3例,植物生存3例,死亡6例。结论 提出按出血的部位分原发性和异位性迟发性血肿。仔细分析术前影像学资料,术中密切观察病情变化,及时复查头颅CT,依据具体情况采取再手术或保守治疗。

    【关键词】 颅脑损伤;颅内血肿;预见处理

    【Abstract】 Objective to studytheacute traumaticintracranial hematomaofdelayedpostoperative intracranial hematomareasons,to forsee and deal with.Methods 2004.9-2008.4 of 22patients the resurgery andconservative treatment.Results Good recovery in 6 cases,the residual 4 cases,severe disability in 3 cases,3 vegetatively survived,and 6died.Conclusion The proposed site of bleeding points according to primary and ectopic delayed hematoma.A careful analysis of preoperative imagingdata,the book closely observed changesin condition,timely review of headCT,based on surgery orconservative treatment.

    【Key words】 Traumatic brain injury;Traumatic hematoma;Predictable handling.

    本院自2004年9月至2008年4月,在收治的急性外伤性颅内血肿手术患者中,有22例在血肿清除术后出现迟发性颅内血肿,占血肿清除患者的4.6% ......