| 钻孔置管引流治疗硬膜外血肿20例体会 |
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| 引用本文： | 侯光磊,王雪峰.钻孔置管引流治疗硬膜外血肿20例体会[J].黑龙江医学,2006,30(5):348-348. |
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| 作者姓名： | 侯光磊 王雪峰 |
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| 作者单位： | 1. 哈尔滨市呼兰区第一人民医院,黑龙江,哈尔滨,150500
2. 哈尔滨医科大学第四临床医学院,黑龙江,哈尔滨,150001 |
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| 摘 要： | 目的探讨钻孔置管引流治疗硬膜外血肿的经验。方法选择20例经CT扫描确诊的20例硬膜外血肿病例,局麻下行切开头皮3.0 cm,颅骨钻孔达血肿腔,清除部分血肿,将F 14号硅胶管3~5个侧孔置入血肿腔,缝合固定。术后血肿腔注入10万u尿激酶的生理盐水5 mL,闭管24 h开始引流,间隔1~2 h决定是否继续给药。结果20例经24 h引流,CT复查,血肿引流彻底12例,48 h后彻底引流7例,1例引流后发现再出血,改为开颅施血肿消除。成活率100%。结论钻孔置管引流治疗硬膜外血肿方法简单易行,疗效确切。
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| 关 键 词： | 神经外科学 颅骨钻孔 置管引流 硬膜外血肿 |
| 文章编号： | 1004-5775（2006）05-0348-01 |
| 收稿时间： | 2006-01-09 |
| 修稿时间： | 2006年1月9日 |
Experience of Treatment on Epidural Hematoma with Drilling Catheter Drainage |
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| HOU Guang-lei,WANG Xue-feng.Experience of Treatment on Epidural Hematoma with Drilling Catheter Drainage[J].Heilongjiang Medical Journal,2006,30(5):348-348. |
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| Authors: | HOU Guang-lei WANG Xue-feng |
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| Institution: | The First People s Hospital of Hulan District of Harbin City, Harbin 150500, China |
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| Abstract: | Objective To discuss the experience of drill catheter drainage treatment of epidural hematoma. Methods 20 eases of epidural hematoma patient who obtained diagnosis with CT were drilled to hematoma cavity under local anesthesia and 14 F silicon catheter was fixed and injected uroklnase and drainage. Results There were 12 cases in total hematoma clearance after 12 h, 7 cases in total hematoma clearance after 48 h and 1 case relapse and hematoma discarded. The successful rate was 100%. Conclusion This method might be performed easily with accuracy effect. |
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| Keywords: | Neurosurgery Skull drilling Catheter drainage Epidural hematoma |
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