다른 외상성 두개강내 병변이 동반된 외상성 뇌실질내 혈종의 임상분석 = A Clinical Analysis of Traumatic Intracerebral Hematoma With other Traumatic intracranial lesions

다국어 초록 (Multilingual Abstract)

180 cases of traumatic intracerebral hematoma(TICH) among 1,633 head injury in-patients diagnosed with brain computed tomography in the department of neurosurgery, Chungnam National University hospital from Jan. 1990 to Jun. 1996. were classified into two TICH groups, that is, TICH group with other intracranial lesions and TICH group without other traumatic intracranial lesions.
The results were summarized as follows;
1) The incidence of TICH was 11.0% and percentage of TICH with other traumatic intracranial lesions among 180 cases of TICH was 66.7%
2) Compared with TICH group without other traumatic intracranial lesions, TICH group with other traumatic intracranial lesions showed worse initial level of consciousness, abnoaml pupillary reflex, more frequent delayed traumatic intracerebral hematomas, much amount of hematoma, more performed surgery and worse outcome.
3) In TICH group with other traumatic intracranial lesions, the factors affecting prognosis were initial GCS score, pupillary reflex, amount of hematoma and treatment modality
4) In TICH group without other traumatic intracranial lesions, the factors affecting prognosis were initial GCS score, pupillary reflex, amount of hematoma and delayed traumatic intracerebral hematoma(DT-ICH).
5) In the condition of 12-15 of GCS score, nomal pupillary reflex, absence of DTICH, and amount of hematoma below 10cc, the presence of other traumatic intracranial lesions was important prognostic factor.
6) The overall mortality was 27.7% but in TICH group with other traumatic intracranial lesions, the mortality was 35.0% and in TICH group without other traumatic intracranial lesions, 13.3%.
7) In the 120 cases, TICH coexisted with other brain lesions, most frequently with intraventricular hemorrhage(IVH), followed by ipsilateral SDH and contralateral SDH.

목차 (Table of Contents)

• I. 서론
• II. 대상 및 방법
• III. 결과
• 1. 발생빈도 및 성별분포
• 2. 연령분포
• 3. 두부손상의 원인
• 4. 내원 초기 Glasgow Coma Scale(GCS) score
• 5. 임상증상의 발현 양상
• 6. 내원 초기 대광반사
• 7. 외상이 가해진 부위
• 8. 외상성 뇌실질내 혈종의 위치
• 9. 지연성 외상성 뇌실질내 혈종의 발생
• 10. 외상성 뇌실질내 혈종의 혈종양
• 11. 치료방법
• 12. Glasgow Outcome Scale(GOS)
• 13. 예후인자
• 14. 동반 병변에 의한 동일한 조건의 환자군에서의 예후
• 15. 동반 병변의 양상과 예후
• IV. 고찰
• IV. 결론
• 참고문헌
• ABSTRACT*