脑挫裂伤血肿扩大机制、诊断及治疗进展
Progress in Mechanism, Diagnosis and Treatment of Hematoma Enlargement in Brain Contusion and Laceration
DOI: 10.12677/ACM.2021.1111817, PDF,   
作者: 谢性豪:青海大学研究生院,青海 西宁;李坤正*:青海大学附属医院神经外科,青海 西宁
关键词: 脑挫裂伤血肿扩大机制Cerebral Contusion Hematoma Enlargement Mechanism
摘要: 脑挫裂伤血肿体积通常会扩大,或在撞击后数小时内,从原始挫伤远处或不连续地出现新的出血性损伤。脑挫裂伤是创伤性颅脑损伤(Traumatic brain injury, TBI)其中一种亚型,死亡率及致残率极高,评估、诊断及处理血肿扩大由此继发引起的急剧颅压升高是神经外科治疗的重要内容。本综述主要讲述脑挫裂伤血肿扩机制、诊断及治疗。
Abstract: The volume of cerebral contusion hematoma usually expands, or within hours after the impact, from the original contusion or discontinuous new hemorrhagic injury. Brain contusion and laceration is one of the subtypes of traumatic brain injury (TBI), with high mortality and disability rate. Evaluation, diagnosis and treatment of hematoma enlargement caused by high intracranial pressure are an important part of the treatment of neurological critical illness. This review focuses on the mechanism, diagnosis and treatment of hematoma enlargement in cerebral contusion.
文章引用:谢性豪, 李坤正. 脑挫裂伤血肿扩大机制、诊断及治疗进展[J]. 临床医学进展, 2021, 11(11): 5518-5521. https://doi.org/10.12677/ACM.2021.1111817

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