| 高压氧治疗对外伤性硬膜下积液发生、发展的回顾性分析 |
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| 引用本文： | 唐晓平,张涛,唐文国,漆建,彭华,段军伟,罗仁国,冯凌.高压氧治疗对外伤性硬膜下积液发生、发展的回顾性分析[J].第四军医大学学报,2009(24). |
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| 作者姓名： | 唐晓平 张涛 唐文国 漆建 彭华 段军伟 罗仁国 冯凌 |
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| 作者单位： | 川北医学院附属医院神经外科; |
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| 基金项目： | 四川省医学重点建设学科基金(川卫办发[2007]407号); 四川省卫生厅科研项目(050059,070301) |
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| 摘 要： | 目的:探讨高压氧(HBO)对外伤性硬膜下积液(TSE)发生、发展的影响,以及HBO对TSE的治疗作用,并分析其作用机制.方法:统计颅脑损伤后TSE总的发生率;比较颅脑损伤后早期HBO治疗(A组)和未行HBO治疗(B组)的TSE的发生情况;比较早期发现TSE后行了HBO治疗(C组)和未行HBO治疗(D组)的临床转归情况;比较钻孔引流+HBO(E组)和单纯钻孔引流(F组)治疗有手术指征的TSE的临床疗效.结果:颅脑损伤后TSE总的发生率为7.35%;早期HBO治疗组(A组)TSE的发生率为3.99%,同期未行HBO治疗组(B组)发生率为6.90%,两者比较有统计学差异(P<0.01);早期发现TSE行了HBO治疗组(C组)总有效率和治愈率为90.91%和52.12%,未行HBO治疗(D组)总有效率和治愈率仅为77.86%和24.43%,两组比较差异显著(P<0.01);做了钻孔引流的TSE患者中,钻孔引流+HBO组(E组)总有效率和治愈率为93.10%和45.98%,单纯钻孔引流组(F组)则为80.77%和28.85%,两组比较差异显著(P<0.05).结论:HBO治疗能有效阻止TSE的发生,并对TSE具有明显治...
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| 关 键 词： | 高压氧 外伤性硬膜下积液 钻孔引流 |
Effect of hyperbaric oxygenation on the genesis and development of traumatic subdural effusion |
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| TANG Xiao-Ping,ZHANG Tao,TANG Wen-Guo,QI Jian,PENG Hua,DUAN Jun-Wei,LUO Ren-Guo,FENG Li.Effect of hyperbaric oxygenation on the genesis and development of traumatic subdural effusion[J].Journal of the Fourth Military Medical University,2009(24). |
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| Authors: | TANG Xiao-Ping ZHANG Tao TANG Wen-Guo QI Jian PENG Hua DUAN Jun-Wei LUO Ren-Guo FENG Li |
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| Institution: | TANG Xiao-Ping,ZHANG Tao,TANG Wen-Guo,QI Jian,PENG Hua,DUAN Jun-Wei,LUO Ren-Guo,FENG Li,Department of Neurosurgery,Affiliated Hospital,North Sichuan University of Medical Sciences,Nanchong 637000,China |
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| Abstract: | AIM:To discuss hyperbaric oxygen(HBO) for traumatic subdural effusion(TSE) genesis,development impact,as well as HBO on the TSE therapeutic effect and to analyze its mechanism.METHODS:To add up the total incidence rate of TSE after craniocerebral injury;To compare the incidence of TSE bewteen earlier HBO therapy treatment after injury(group A) and without HBO treatment(group B);To compare the clinical prognosis between HBO therapy treatment for earlier discoverable TSE(group C) and without HBO treatment(gro... |
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| Keywords: | hyperbaric oxygenation traumatic subdural effusion trepanation and drainage |
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