脑出血微创血肿抽吸引流术后颅内积气的临床观察 |
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引用本文: | 许峰,连立飞,朱文浩,王刚,徐珂,康慧聪,刘晓艳,唐洲平,朱遂强.脑出血微创血肿抽吸引流术后颅内积气的临床观察[J].国外医学:物理医学与康复学分册,2013,0(3):188-191. |
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作者姓名: | 许峰 连立飞 朱文浩 王刚 徐珂 康慧聪 刘晓艳 唐洲平 朱遂强 |
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作者单位: | 许峰 (华中科技大学同济医学院附属同济医院神经内科武汉 430030); 连立飞 (华中科技大学同济医学院附属同济医院神经内科武汉 430030); 朱文浩 (华中科技大学同济医学院附属同济医院神经内科武汉 430030); 王刚 (华中科技大学同济医学院附属同济医院神经内科武汉 430030); 徐珂 (华中科技大学同济医学院附属同济医院神经内科武汉 430030); 康慧聪 (华中科技大学同济医学院附属同济医院神经内科武汉 430030); 刘晓艳 (华中科技大学同济医学院附属同济医院神经内科武汉 430030); 唐洲平 (华中科技大学同济医学院附属同济医院神经内科武汉 430030); 朱遂强 (华中科技大学同济医学院附属同济医院神经内科武汉 430030); |
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基金项目: | 卫生部部属医院临床重点项目;湖北省卫生厅科研重点项目(项目编号:JX4A03) |
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摘 要: | 目的:了解脑出血微创血肿抽吸引流术(微创术)后颅内积气的发生情况。方法:接受微创术治疗的脑出血患者134例,术后出现颅内积气的患者为A组(n=97),未出现颅内积气的病例为B组(n=37)。对2组的临床数据进行统计分析。结果:A组中双针穿刺比例、血肿抽吸量及引流量与B组比较差异有统计学意义(P<0.05)。Logistic回归分析表明,双针穿刺是影响术后颅内积气及其严重程度的独立危险因素。结论:脑出血微创血肿抽吸引流术后常出现颅内积气,但对患者预后无显著影响。双针穿刺可能增加术后颅内积气的风险。
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关 键 词: | 脑出血 颅内积气 抽吸 引流 手术治疗 并发症 |
Pneumocephalus Following the Minimally Invasive Hematoma Aspiration and Thrombolysis for Intracerebral Hemorrhage |
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Abstract: | Objective:To investigate the pneumocephalus following the minimally invasive hematoma aspiration and thrombolysis for intracerebral hemorrhage(ICH).Methods:One hundred and thirty-four ICH patients were given the minimally invasive hematoma aspiration and thrombolysis.The cases with pneumocephalus(group A,n=97)and the patients without pneumocephalus(group B,n=37)have been documented and reviewed.Clinical data of two groups were analyzed.Results:There were significant difference in the proportion of double-needle aspiration,the amount of hematoma aspiration and drainage of group A compared with those in group B.Logistic regression analysis indicates that double-needle puncture may be an independent risk factor for postoperative pneumocephalus.Conclusion:The pneumocephalus is common following the minimally invasive hematoma and thrombolysis for patients with ICH,which does not affect the outcome of the patients.Double-needle puncture may be the risk factor of pneumocephalus. |
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Keywords: | intracerebral hemorrhage pneumocephalus aspiration drainage surgery complication |
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