| 硬膜外血肿穿颅清除术24例临床体会 |
| |
| 引用本文： | 蒋晓明,佘晓春,陈勇军,王震,陈爱明,李金林,孙德,何建军.硬膜外血肿穿颅清除术24例临床体会[J].中国现代手术学杂志,2006,10(4):307-309. |
| |
| 作者姓名： | 蒋晓明 佘晓春 陈勇军 王震 陈爱明 李金林 孙德 何建军 |
| |
| 作者单位： | 江苏省如东县人民医院神经外科,如东,226400 |
| |
| 摘 要： | 目的总结穿颅清除术治疗急性外伤性硬膜外血肿的临床体会。方法回顾性分析24例急性外伤性硬膜外血肿实施选择性穿颅清除术的临床资料,采用弦距定位法确定穿刺点,选用颅内血肿粉碎穿刺针进行穿刺、抽吸、冲洗、粉碎、液化及引流。结果本组平均治疗时间3.4(2~5)d,无一例再出血或死亡,亦无中转开颅手术,CT复查示血肿清除率达85%~95%,随访3~6个月,本组GOS评分均为良好。结论选择性穿颅清除术治疗急性外伤性硬膜外血肿方法简易、有效、安全、经济,值得推广。
|
| 关 键 词： | 血肿 硬膜外 颅内 穿刺术 引流术 |
| 文章编号： | 1009-2188(2006)04-0307-03 |
| 收稿时间： | 06 7 2006 12:00AM |
| 修稿时间： | 07 13 2006 12:00AM |
Evacuation of the Extradural Hematoma by Transcranial Paracentesis in 24 Cases |
| |
| JIANG Xiao-ming,SHE Xiao-chun,CHEN Yong-jun,WANG Zhen,CHEN Ai-ming,LI Jin-lin,SUN De,HE Jian-jun.Evacuation of the Extradural Hematoma by Transcranial Paracentesis in 24 Cases[J].Chinese Journal of Modern Operative Surgery,2006,10(4):307-309. |
| |
| Authors: | JIANG Xiao-ming SHE Xiao-chun CHEN Yong-jun WANG Zhen CHEN Ai-ming LI Jin-lin SUN De HE Jian-jun |
| |
| Abstract: | Objective To investigate the evacuation of the extradural hematoma by transcranial paracentesis.Method 24 cases of acute traumatic extradural hematoma underwent transcranial paracentesis were retrospectively reviewed.The hematoma was flushed,liquidized and drained.Results No conversion to open surgery,no rebleeding and death occurred.The hematoma was reduced in size by 85% to 95% according to CT.It showed good GOS score in 24 patients during 3 to 6 months follow-up. Conclusion Evacuation of the extradural hematoma by transcranial paracentesis is a simple,effective way to treat acute traumatic extradural hematoma. |
| |
| Keywords: | hematoma epidural cranial punctures drainage |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
