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脑疝期急性硬膜下血肿的救治体会
引用本文:殷利春,杜杭根,何民,章国军,田勇,王承,郝必烈,陈立. 脑疝期急性硬膜下血肿的救治体会[J]. 浙江中医药大学学报, 2008, 32(6)
作者姓名:殷利春  杜杭根  何民  章国军  田勇  王承  郝必烈  陈立
作者单位:浙江中医药大学附属第二医院,杭州,310005
摘    要:[目的]探讨急性硬膜下血肿急救方法.[方法] 对脑疝的急性硬膜下血肿59例采用常规长规处理,开颅手术,脱水降颅压、止血,预防感染,营养支持等常规治疗的基础上予以亚低温治疗.{结果}59例患者根据GCS评分,良好21例,中残12例,重残8例,植物生存3例,死亡15例.其中有3例死于术后DIC.[结论] 对急性硬膜下血肿的抢救,争取时间尽快手术是抢救成功的关键之一,手术中的急性脑膨出,也是影响预后的关键因素之一.

关 键 词:脑疝  急性硬膜下血肿  开颅手术  脱水  降颅压

Cure Experience on Acute Subdural Hematoma of Cerebral Hemia
Yin Lichun,Du Hanggen,He Min,et al Second Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou. Cure Experience on Acute Subdural Hematoma of Cerebral Hemia[J]. Journal of Zhejiang University of Traditional Chinese Medicine, 2008, 32(6)
Authors:Yin Lichun  Du Hanggen  He Min  et al Second Hospital Affiliated to Zhejiang Chinese Medical University  Hangzhou
Affiliation:Yin Lichun,Du Hanggen,He Min,et al Second Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou(310053)
Abstract:[Objective]To explore first aid to acute subdural hematoma of cerebral hemia. [Method] Administer routine treatment, opening skull, dehydrating to reduce pressure, stopping blood, preventing infection and nutrition support to 59 cases; then sub-low-temperature therapy is taken on the basis above. [Result] Scoring by GCS, 21 were good, 12 were moderately handicapped, 8 severely handicapped, 3 lived as plant, 15 dead; among which, 3 died after DIC. [Conclusion] For first aid to acute subdural hematoma, sooner...
Keywords:cerebral hemia  acute subdural hematoma  opening skull  dehydrating  reduce cerebral pressure  
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