Clinical Characteristics and Prognostic Factors of Delayed Traumatic Intracranial Hematoma
Abstract：Objective To study the clinical characteristics and prognosticfactors of delayed traumatic intracranial hematoma (DTIH). Method Clinical data of 66 patients with DTIH was analyzed retrospectively. Results DTIH often occurred within 72 hours after retardation head injury in the middle-aged and old men. It located most frequently in the frontotemporal site. Progressive deterioration of conciousness gradual appearance of local neurological symptoms and focal epilepsy were the three main symptoms of DTIH, which was facilitated by hypotension. High mortality was usually seen in the patients over sixty, who suffered from severe primary brain injury (preoperative GCS>8),or whose DTIH was diagnosed over 24 hours following its occurrence. Conclusions DTIH has its distinct clinical characteristics. Serial CT scans may be helpful to making early diagnosis. The age of patients, severity of the brain injury, preoperative level of conciousness and DTIH diagnosis time were the main factors influencing the prognosis of the patients.
Keywords：Brain injury Prognosis Intracranial hematomadelayed
Publication Date：2001-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 11-12 )