静脉窦损伤致急性硬膜下血肿临床特点

目的探讨SDHSI的诊断与手术方法。方法回顾性分析12例SDHSI患者的临床资料。均予开颅手术,术中发现前1/3上矢状窦损伤7例,中后2/3上矢状窦损伤3例,横窦损伤1例,横窦及乙状窦交界处损伤1例。结果按GOS记分,死亡8例,重残1例,中残2例,恢复良好1例。3例死于失血性休克,5例死于脑干功能衰竭。结论 SDHSI是一种特殊类型的硬膜下血肿,病情重,进展快,处理困难,术前明确诊断和正确的手术方法是提高抢救成功率的关键。

Clinical Characteristics of Acute Subdural Hematomas Post Venus Sinus Injury

Objective To investigate the clinical characteristics of acute subdural hematomas post venus sinus injury(SDHSI).Methods 12 patients were reviewed.All cases were performed craniotomy.It was found that former 1/3 sagittal sinus injury in 7 cases,post 2/3 sagittal sinus injury in 3 cases,transverse was sinus injury1 case,1 case with transverse sinus and sigmoid sinus commissural.Results According to GOS,8 cases died of brainstem function failure,1 case severe disabilty,2 moderately disabilty,1 good recoveryed.3 patients died of hemorrhagic shock,5 patients died of brain stem failure.Conclusion SDHSI is a special type of subdural hematoma,the deterioration of illness rapidly,processing difficultly.Preoperative diagnosis and proper surgical method are the key to improve rescue success rate.