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目的:探讨创伤性急性硬膜下血肿术中并发硬膜外血肿的原因与治疗方法。方法:选取2014年3月到2014年12月于我院就诊的创伤性急性硬膜下血肿术中并发硬膜外血肿患者共38例,在首次手术的止血及缝合过程中,患者出现脑内压急剧增高现象。术后,行CT复查发现并发硬膜外血肿,立即采取硬膜外血肿清除术。结果:38例患者均经过手术治疗,其中死亡5例,对其余33例患者进行为期6个月的随访观察,采用GOS评分,病情严重14例,植物状态生存2例,致残较轻7例,恢复良好15例。结论:对创伤性急性硬膜下血肿术中并发硬膜外血肿患者需进行密切的术前观察与术中观察,定期进行CT检查,以及时发现并处理疾病,减少致残率与死亡率。
Objective: To investigate the causes and treatment of epidural hematoma in traumatic acute subdural hematoma. Methods: Thirty-eight patients with traumatic acute subdural hematoma who were treated in our hospital from March 2014 to December 2014 were enrolled in this study. During the first operation of hemostasis and suture, Pressure increased sharply phenomenon. Postoperatively, the line CT examination found that complicated with epidural hematoma, immediately take epidural hematoma removal. Results: Thirty-eight patients were surgically treated, including 5 deaths. The remaining 33 patients were followed up for 6 months. The GOS score was used in 14 patients. The disease status was severe in 14 patients, plant status in 2 patients and disability in 7 patients , Recovered well in 15 cases. Conclusion: The patients with traumatic acute subdural hematoma complicated with epidural hematoma need close preoperative observation and intraoperative observation, regular CT examination, and timely detection and treatment of diseases, reduce morbidity and mortality.