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床旁微创术对外伤性颅内血肿的救治研究
引用本文:向强,文亮,刘明华,徐世伟,熊建琼,张雷. 床旁微创术对外伤性颅内血肿的救治研究[J]. 中国综合临床, 2004, 20(3): 209-210
作者姓名:向强  文亮  刘明华  徐世伟  熊建琼  张雷
作者单位:1. 400038,重庆,第三军医大学西南医院ICU
2. 400038,重庆,第三军医大学西南医院急诊手术室
摘    要:目的 比较床旁微创术与开颅血肿清除术对外伤性脑出血救治的疗效。方法 将 86例外伤性颅内血肿患者分为两组 :开颅血肿清除术组与床旁微创颅内血肿清除组 ,每组 4 3例 ,对比两组的治疗效果。结果 微创组术后痊愈率 5 5 .8% ,显著高于开颅组的 30 .2 % (P <0 .0 1 ) ,微创组在手术时间、术后并发症、住院时间等方面均明显优于开颅组 (P <0 .0 1 )。结论 床旁微创术是救治外伤性颅内血肿快捷而且有效的一种途径。

关 键 词:脑出血  微创术  颅脑损伤
文章编号:1008-6315(2004)03-0209-02
修稿时间:2003-08-07

The treatment of traumatic intracranial hematoma by ICU bedside micro-injury operation
Xiang Qiang,Wen liang,Liu Minghua et al. The treatment of traumatic intracranial hematoma by ICU bedside micro-injury operation[J]. Clinical Medicine of China, 2004, 20(3): 209-210
Authors:Xiang Qiang  Wen liang  Liu Minghua et al
Affiliation:Xiang Qiang,Wen liang,Liu Minghua et al.Department of Intensive Care Unit
Abstract:Objective To investigate the therapeutic effect of bedside micro injury operation and hematoma clearance in treating traumatic intracranial hemorryhage.Methods 86 patients with traumatic intracranial hematom were divided into 2 groups: intracerebral hematom clearance in 43 cases and micro injury operation in 43 cases.Comparison of the therapeutic effect was made between groups.Results The curative ratio of was 55.8% in micro injury group,significantly higher than in hematom clearance group(30.2%,P<0.01).The micro injury was superior to hematoma clearance in operation time,postoperative complication rate and hospitality time.Conclusion Bedside micro injury operation is a minimally invasive and effective way for treating traumatic intracranial hematoma.
Keywords:Intracranial hemorrhage  Micro injury operation  Brain injury
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