急诊微创锥颅引流救治高颅压危象的临床应用

目的:探讨急诊微创锥颅引流救治高颅压危象的效果。方法:回顾性分析经头颅CT证实的慢性硬膜下血肿41例、脑脓肿11例、急性硬膜下积液11例、创伤性颅内积气3例、梗阻性脑积水2例和囊性脑肿瘤1例的临床资料。结果:经救治的69例全部脱险(100%),治愈66例(95.6%),随访6个月～1年,恢复良好。3例转专科治疗(4.3%)。结论:微创锥颅引流法所需器械简单、不需全麻、创伤小、操作快捷、经济、安全、效果立竿见影,为目前救治部分高颅压危象的好方法。

Emergency micro-wimble through skull and drainage in the cases of first aid and treatment increased intracranial pressure crisis

Objective:To study effects of the usage on emergency micro-wimble through skull and drainage in the cases of first aid and treatment for increased intracranial pressure crisis. Method:Analyzing the clinical data of the cases all with head CT proofs including 41 of chronic subdural hematoma, 11 of intracerebral abscess, 11 of traumatic subdural hydroma, 3 of post-traumatic pneumocephalus, 2 of hydrocephalus and 1 of cystoid intracerebral tumour. Result: All the 69 patients came through immediately by emergency cure, 66 patients were cured by tracing investigation lasting from 6 months to a year, 3 cases were transferred to special course of treatment. Conclusion: As an ideal method of emergency treatment and cure for part of the crisis caused by the increased intracranial pressure crisis, advantages of the usage of emergency wimble on skull go as follow: few needs on instrument, no need for general anaesthesia, took effect quickly, economic, few hurt and safety.