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急性外伤性颅内血肿是神经外科常见疾患之一,由于它发展快,若有拖延或误诊,将延误抢救。Fell 氏1975年报导他在1967—1972年间于伤后72小时以内手术的急性硬脑膜下血肿144例,死亡率为45%。在他报导的14组其他国外各作者的病例中,死亡率高达54—87%。我院自1974年至1979年底共收治急性外伤性颅内血肿共57例,均经开颅手术,死亡17例,死亡率为29.8%;其中急性硬脑膜下血肿(包括以硬脑膜下血肿为主的复合性血肿8例)33例,死亡14例,死亡率为42.4%。不同类型急性颅内血肿的死亡率见表1。
Acute traumatic intracranial hematoma is one of the common neurosurgical disorders, due to its rapid development, if delayed or misdiagnosed, will delay the rescue. Fell’s 1975 report of 144 cases of acute subdural hematoma he had undergone within 72 hours of injury between 1967 and 1972 showed a 45% mortality rate. Mortality rates were as high as 54-87% among the 14 other foreign authors he reported. Our hospital from 1974 to the end of 1979 were treated a total of 57 cases of acute traumatic intracranial hematoma, were craniotomy, 17 cases of death, the mortality rate was 29.8%; of which acute subdural hematoma (including subdural hematoma The main composite hematoma in 8 cases) 33 cases, 14 patients died, the mortality rate was 42.4%. The mortality of different types of acute intracranial hematomas in Table 1.