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慢性硬膜下血肿的外科治疗

Chronicity Subdural Hematoma Surgical Therapy
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摘要 目的探讨钻孔冲洗引流术对慢性硬膜下血肿患者的治疗效果。方法回顾性分析2004年7月-2008年7月间采用钻孔冲洗引流术治疗慢性硬膜下血肿患者26例的临床资料。并对所有患者随访1年。结果慢性硬膜下血肿自行吸收困难,未经治疗常发展为高颅压、脑疝死亡。本组26例患者通过钻孔冲洗引流,21例一次成功;4例通过二次冲洗引流获得满意效果;1例二次开颅手术解决。术后随访1年,患者头痛、头晕、神经功能障碍基本消失。一次成功率80.77%,二次为96.15%。结论慢性硬膜下血肿钻孔冲洗引流是目前最有效、创伤小、术后并发症少、操作简单并被广大医务工作者所接受的治疗方法。 Objective To investigate Bored irrigation drainage of chronic subdural hematoma in patients with the treatment. Methods A retrospective analysis from July 2004 to July 2008 between the author used to clean drill drainage treatment in patients with chronic subdural hcmatoma in 26 cases of clinical data. All the patients and follow - up year. Results Chronic subdural hematoma difficult to absorb, Without regular treatment for the development of high intracranial pressure, cerebral death. This group of patients through the drilling of 26 cases of irrigation and drainage, 21 cases was successful; 4 cases through the Second Irrigation and Drainage to obtain satisfactory results; solve the Craniotomy the second case. Follow - up after one year, patients with headache, dizziness, nerve dysfunction disappeared. A success rate of 80. 77 percent, 96. 15 percent for the second. Conclusion Chronic subdural hematoma drainage drilling is the most effective, trauma, less post - operative complications, easy to operate and the broad masses of medical workers to receive the treatment.
机构地区 天津市海河医院
出处 《实用心脑肺血管病杂志》 2009年第2期125-126,共2页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 硬膜下血肿 外科治疗 Subdural hematoma Surgical treatment
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