慢性硬膜下血肿钻孔引流术后并发症的防治

目的：分析CSDH（慢性硬膜下血肿）行钻孔引流术治疗的术后并发症及防治措施。方法：选取2008年9月-2013年9月收治的CSDH患者150例，分析临床治疗情况，以及并发症发生情况和防治措施。结果：术后总治愈率为98.7%；共出现血肿复发、颅内积气、颅内感染、脑脊液漏、癫痫、继发颅内血肿以及心衰等7种并发症；血肿复发发生率相对最高，颅内感染的发生率相对最低（P〈0.05）。结论：CSDH在行钻孔引流术治疗时，应及早采取合理措施积极防治并发症，以保证手术效果。

The Prevention and Therapy about Postoperative Complications of Chronic Subdural Hematoma Drilling Drainage

Objective：To analyze the prevention and therapy about postoperative complications of chronic subdural hematoma drilling drainage. Method：150 patients with CSDH were selected from September 2008 to September 2013,then analyzed the situation of the clinical treatment, complications,the prevention and therapy measures. Result：The postoperative total cure rate was 98.7%;and there had 7 kinds of complication such as hematoma,intracranial pneumatosis,intracranial infection,cerebrospinal fluid leakage,epilepsy,secondary intracranial hematoma and heart failure;the incidence of recurrent hematoma was relatively high,the incidence of intracranial infection was relatively low（P〈0.05）. Conclusion：The treatment with CSDH in drilling drainage should take reasonable measures early to prevent complications,so as to ensure the operation effect.