| 一侧急性颅内血肿清除术中继发对侧迟发性颅内血肿的治疗体会 |
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| 引用本文： | 刘生华,齐再利,张合林,李香迎,田爱民,王吉华.一侧急性颅内血肿清除术中继发对侧迟发性颅内血肿的治疗体会[J].国际外科学杂志,2009,36(10). |
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| 作者姓名： | 刘生华 齐再利 张合林 李香迎 田爱民 王吉华 |
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| 作者单位： | 济南市第三人民医院神经外科,济南,250101 |
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| 摘 要： | 目的 探讨一侧急性颅内血肿清除术中继发对侧迟发性颅内血肿的治疗方法.方法 回顾性分析13例急性颅内血肿术中继发对侧迟发性颅内血肿患者的临床资料,采用一次开颅清除双侧血肿.结果 术后按Glasgow(COS)评定预后,其中良好4例,中残4例,重残2例,植物生存1例,死亡2例.结论 采用一次开颅治疗一侧急性颅内血肿清除术中继发对侧迟发性颅内血肿的效果显著,可以提高患者的生存率和生活质量.
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| 关 键 词： | 急性颅内血肿 迟发性颅内血肿 双侧开颅 去大骨瓣减压 |
Treatment of the contralateral delayed intracranial hematoma secondary to acute intracranial hematoma intraoperative removal of one side |
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| Abstract: | Objective To investigate the treatment method of the contralateral delayed intracranial hematoma secondary to acute intracranial hematoma intraoperative removsal of one side.Methods A retrospectire analysis Was made in of 13 cases of contralateral delayed intracranial hematoma secondary to acute intracranial hematoma intraoperative removal of one side,we used bilateral hematoma removal in one craniotomy.Results Assessment ofprognosis was done by GOS,4 cases were good,4 cases were residual,2 cases were severely disabiled,1 case was vegetative,2 cases ded.Conclusion One craniotomy for the treatment of contralateral delayed intracranial hematoma secondary to acute intracranial hematoma removal of one side can improve survival rate and quality of life. |
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| Keywords: | acute intracranial hematoma intraoperative delayed intracranial hematoma one craniotomy decompression by large craniectomy |
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