摘要
目的 观察锥颅尿激酶灌注引流术治疗硬膜外的血肿的临床疗效。方法 32例硬膜外血肿的患者锥颅置管后灌注尿激酶1万U(2～3次/日),共引流3～5天待引流液渐清亮,复查CT见血肿大部分已被引流后拨管。结果 32例引流后24h内头痛显著减轻者20例,24～48h头痛减轻者12例,引流后48h经CT复查硬膜外血肿全部消失16例(50％),血肿减少75％以上8例(25％),减少50％～75％的8例(25％);术后7天复查CT血肿全部吸收。结论 锥颅尿激酶灌注引流术操作技术简单、手术时间短、对病人侵袭打击小,术后恢复快、住院时间短,而且安全可靠,值得推广。
Objective To survey the clinic effects of stereotasic dranage with urokinase-perfusion in treatment of epidural hematoma. Maetords Thirty-two cases of epidural hematioma were treated with this way about 3 to 5 days, then the tube was pulled out after the most part of hematoma in CT scan had dispersed. Results Within 24 hours the headache of 20 cases are significantly relieved; the headache of others also relieve no more than 48 hours. 48-hour post-operative-CT scan show that 16 cases which the hematoma completely disappear, 8 cases which the hematoma decrease more than 75% and 8 cases which the hematoma decreases between 50% and 70%. Conclusjon The effects of stereotaxic dranage with urokinase-perfusion in treatment of epidural hematoma is security and validity with easy operation, short time of operation and hospitalization and little complication.
出处
《国际医药卫生导报》
2003年第16期43-45,共3页
International Medicine and Health Guidance News
关键词
血肿
硬膜外
尿激酶
引流
锥颅
Epidural Hematoma Urokinase Stereotaxic Drainage
