- 期刊
Delayed Onset of Traumatic Epidural Hematoma
延遲性發作的外傷性硬腦膜外血腫
摘要
本院在過去36個月中，發現了16位延遲性發作的外傷性硬腦膜外血腫的病例。所有的病人在售傷後首次電腦斷層攝影都沒有顯現病灶，而在神經症狀變坏時都能健到很大的硬腦膜外血腫，此種延遲性的硬腦膜外血腫的發生率在本報告中比其它以往的報告都來得高。 最具意義的引發因素為顱骨骨折以及顱內壓力之降低，所有病人都接受外科手術治療，其預後直接與神經壓迫症狀開使時是否即刻清除血腫有關係。
關鍵字
無資料並列摘要
Over 36months, 16 cases of delayed onset of traumatic epidural hematoma have been collected in our hospital. A negative CT finding was recorded on arrival and repeated CT scans obtained following neurological deterioration of the patients revealed sizable epidural hematomas. The occurrence of delayed epidural hematoma was more frequent in our series than fracture and relief of intracranial pressure. All patients received surgical management. Prognosis of these patients was directly related to the promptness with which the hematoma was removed once neurological compression began.
延伸閱讀
- 洪純隆、林忠男、孫楨民（1986）。鈣化慢性硬腦膜下血腫：病例報告。The Kaohsiung Journal of Medical Sciences，2(7)，465-471。https://doi.org/10.6452/KJMS.198607.0465
- 謝慶良、李仁杰、張遵（1985）。遲發外傷性腦內血腫。中華放射線醫學雜誌，10(1)，75-80。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198503-10-1-75-80-a
- 楊之東（1998）。創傷之延遲性硬腦膜外血腫。中華民國急救加護醫學會雜誌，9(3)，102-109。https://doi.org/10.30018/JECCM.199809.0002
- Lin, C. C., & Liu, B. M. (2010). 急性脊椎硬腦膜下出血：病例報告. Journal of Emergency Medicine, Taiwan, 12(1), 18-23. https://www.airitilibrary.com/Article/Detail?DocID=15623386-201003-201005140012-201005140012-18-23
- Huang, C. T., & Chang, K. C. (2010). 經顱內壓監視器置入術後硬腦膜外血腫擴大：一病例報告. 重症醫學雜誌, 11(1), 64-67. https://doi.org/10.30035/TCCM.201003.0010