| 慢性硬膜下血肿钻孔冲洗术后并发症的防治 |
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| 引用本文： | 陈泽军,张世明. 慢性硬膜下血肿钻孔冲洗术后并发症的防治[J]. 江苏大学学报(医学版), 2003, 13(1): 19-21 |
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| 作者姓名： | 陈泽军 张世明 |
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| 作者单位： | 江苏大学附属镇江市第四人民医院神经外科,江苏,镇江,212001;苏州大学附属第一人民医院神经外科,江苏,苏州,215006 |
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| 摘 要： | 目的：分析并探讨慢性硬膜下血肿（CSDH）钻孔冲洗引流术（BHID）后并发症发生的原因及其防治。提高CSDH的治愈率,降低死亡率。方法：回顾性分析1996年1月-2001年12月经钻孔冲洗治疗的216例CSDH病人的临床资料。结果：全组治愈213例,死亡3例,出现其他并发症13例。其中血肿复发8例,癫痫发作及脑卒中各2例,张力性气颅1例。结论：BHID治疗CSDH较为安全,但仍有一些并发症和一定的死亡率。
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| 关 键 词： | 慢性硬膜下血肿 钻孔冲洗术 并发症 |
| 文章编号： | 1671-7783(2003)01-0019-03 |
| 修稿时间： | 2002-09-10 |
Prevention and Treatment of Postoperative Complications of Chronic Subdural Hematomas after Burr-hole Craniostomy |
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| CHEN Ze jun ,ZHANG Shi ming. Prevention and Treatment of Postoperative Complications of Chronic Subdural Hematomas after Burr-hole Craniostomy[J]. Journal of Jiangsu University Medicine Edition, 2003, 13(1): 19-21 |
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| Authors: | CHEN Ze jun ZHANG Shi ming |
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| Affiliation: | CHEN Ze jun 1,ZHANG Shi ming 2 |
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| Abstract: | Objective: To prevent and treat the postoperative complications of chronic subdural hematoma(CSDH) after burr hole craniostomy(BHID). Methods: We retrospectively analyzed the clinical data of 216 patients with CSDH treated by burr hole craniostomy between January 1,1996 and December 31,2001. Results: Clinical outcomes were satisfactory. 213 patients completely recovered after burr hole craniostomy.Three cases of patients died. 13 patients had postoperative complications. There were 8 patients with hematoma recurrence, 1 with subdural tension pneumocephalus, and 2 with epilepsy and stroke respectively. Conclusion:Although the treatment of CSDH with burr hole craniostomy is a safe and simple method, postoperative complications may occur and motality still exists in some patients. |
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| Keywords: | Chronic subdural hematoma Burr hole craniostomy Postoperative complication |
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