摘要
目的:探讨慢性硬膜下血肿的穿刺持续等压冲洗的临床疗效。方法:术前CT确定穿刺点,消毒后穿刺,使用生理盐水持续性等量等压冲洗,待流出的冲洗液澄清时,外接无菌真空引流袋。结果:总有效率达100%;术后一周治愈率77.78%,有效者8例,CT查硬膜下均有少量积气;术后4周查原硬膜下有积气患者积气均已消失;治愈率94.44%;本组患者中无死亡,无复发,仅1例于引流时出现恶心症状,未经处理于30min后症状消失。结论:采用穿刺持续等压冲洗治疗慢性硬膜下血肿具有较好疗效,该术式创伤小、不易复发、并发症少,术后虽易产生颅内积气,但能够较短时间内被吸收,不影响康复,适合临床广泛应用。
Objective：To discuss the treatment effect of puncture and sustained pressure in washing chronic subdural hematoma.Method：We determined the puncture point by CT before treatment,disinfection and puncture,then sustained pressure washing with NS.To link drainage bag sterile vacuum after the fluid outflow to be clear.Result：The total effective rate was 100%,and the cure rate was 77.78% 1 week after surgery.The effective 8 patients had a small amount of pneumatosis subdural but the pneumatosis were disappeared after 4 weeks.The cure rate was 94.44%,4 weeks after surgery.There was no death or recurrence of all the patients.Conclusion：It has better effect of puncture and sustained pressure washing with chronic subdural hematoma.The surgery has more advantages,such as trauma,less recurrence,few complications.The surgery is easy to remain pneumatosis,but pneumatosis can be absorbed in short time which makes the surgery no hazards for the patients’ healthy.
出处
《河北医学》
CAS
2011年第6期780-782,共3页
Hebei Medicine
关键词
持续等压冲洗
硬膜下
血肿
穿刺
Sustained pressure washing
Subdural
Hematoma
Puncture
