| 慢性硬膜下血肿钻孔引流术后并发症及防治 |
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| 引用本文： | 周志中,赵刚,黄汉朝,张筠,于嘉.慢性硬膜下血肿钻孔引流术后并发症及防治[J].吉林医药学院学报,2002,24(3):145-147. |
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| 作者姓名： | 周志中 赵刚 黄汉朝 张筠 于嘉 |
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| 作者单位： | 1. 第四军医大学吉林军医学院附属医院神经外科,吉林,吉林,132013
2. 吉林大学第一医院神经外科,吉林,长春,130021 |
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| 摘 要： | 目的 探讨老年慢性硬膜下血肿 (CSDH)钻孔引流术后并发症的发生原因和防治措施。方法 分析 80例临床资料。结果 80例CSDH患者钻孔引流治愈 77例 (占 96 .3% ) ,死亡 3例 (占 3.7% ) ;术后发生并发症 2 8例 (占 35 .0 % ) ,其中并发颅内血肿 5例 (占 6 .3% ) ,血肿复发 4例 (占 5 .0 % ) ,大量颅内积气并张力性气颅 10例 (占 13.8% ) ,脑脊液漏 4例 (占 5 .0 % ) ,癫痫或精神障碍 5例 (占 6 .3% )。结论 充分认识CSDH钻孔引流术后的多种并发症 ,密切观察病情变化 ,早期发现并及时处理 ,可提高该病的治愈率
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| 关 键 词： | 慢性硬膜下血肿 钻孔引流术 并发症 |
| 文章编号： | 1009-8488(2002)03-0145-03 |
| 修稿时间： | 2002年5月6日 |
The postoperative complications of trepanation and drainage of chronic subdural hematoma and their prevention and cure |
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| ZHOU Zhi Zhong ,ZHAO Gang ,HUANG Han chao ,ZHANG Jun ,YU Jia.The postoperative complications of trepanation and drainage of chronic subdural hematoma and their prevention and cure[J].Journal of Jilin Medical College,2002,24(3):145-147. |
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| Authors: | ZHOU Zhi Zhong ZHAO Gang HUANG Han chao ZHANG Jun YU Jia |
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| Institution: | ZHOU Zhi Zhong 1,ZHAO Gang 2,HUANG Han chao 1,ZHANG Jun 1,YU Jia 1 |
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| Abstract: | Objective To investigate the cause and preventive measures for postoperative complications of trepanation and drainage of chronic subdural hematoma.Methods The clinical materials of 80 cases were analysed.Results There was cure in 77 such cases(96.3 %) and death in 3 cases(3.7 %);there were complications in 28 cases(35.0 %)-5 cases of intracranial hemetoma(6.3 %),4 cases of recurrence of hematoma(5.0 %)10 cases of intracranial pneumatosis combined with tension pneumatocranium(13.8 %),4 cases of leakage of cerebrospinal(5.0 %),and 5 cases of epilepsy or psychonosema(6.3 %).Conclusion To identify various complications,closely observe the change of condition with early and timely treatment may increase the curative rate of such disease. |
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| Keywords: | chronic subdural hematoma trepanation and drainage complication |
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