| 急性外伤性硬膜外血肿的手术治疗 |
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| 引用本文： | 许民辉. 急性外伤性硬膜外血肿的手术治疗[J]. 创伤外科杂志, 2008, 10(1): 1-3 |
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| 作者姓名： | 许民辉 |
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| 作者单位： | 第三军医大学大坪医院野战外科研究所神经外科,重庆,400042 |
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| 摘 要： | 急性硬膜外血肿是颅脑损伤后最常见的颅内继发性病变,病情发展迅速,可在损伤后短期发生脑疝,危及生命.大部分患者需要及时手术清除血肿,缓解颅内压,常用的手术方式包括骨瓣开颅血肿清除术,骨窗开颅血肿清除术和钻孔穿刺血肿清除术.各种术式有其适应证,应严格掌握,不能一味追求微创手术,以免影响疗效.
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| 关 键 词： | 颅脑损伤 硬膜外血肿 手术 急性 外伤性硬膜外血肿 手术治疗 hematoma acute management 疗效 影响 微创手术 适应证 术式 开颅血肿清除术 穿刺 钻孔 骨窗 骨瓣 手术方式 颅内压 清除血肿 患者 |
| 文章编号： | 1009-4237(2008)01-0001-03 |
| 修稿时间： | 2007-10-22 |
Surgical management of acute extradural hematoma |
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| XU Min-hui. Surgical management of acute extradural hematoma[J]. Journal of Traumatic Surgery, 2008, 10(1): 1-3 |
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| Authors: | XU Min-hui |
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| Affiliation: | XU Min-hui(Department of Neurosurgery,Institute of surgery Research,Daping Hospital,Third Military Medical University,Chongqing 400042,China) |
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| Abstract: | Acute extradural hematoma,the most common secondary change after craniocerebral injury,can induce cerebral herniation to threaten life rapidly for its prompt evolution.The surgical removal of hematoma must be carried out in time to decrease intracranial pressure for most patients.The operation can commonly be performed by skull flap or window craniotomy,or drillhole drainage.The choice of operative manner should be based on indication.Blindness in pursuit of minimally invasive surgery must be avoided. |
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| Keywords: | head injury extradural hematoma operation |
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