摘要
目的探讨慢性硬膜下血肿并脑疝的微创手术的治疗效果。方法对54例慢性硬膜下血肿合并脑疝患者行钻孔外引流术，术后经引流管行闭式引流并应用等渗液体促进脑膨胀。结果48例术后2h-7d内清醒，瘫痪肢体肌力恢复良好46例，7例恢复稍差，4例复发（7．4％），1例死亡（1．85％）。结论钻孔引流术治疗慢性硬膜下血肿并脑疝，术后神经功能恢复明显，疗效满意。
Objective To explore the curative effect of treating chronic subdural hematoma complicated with cerebral hernia with minimally invasive surgery. Method Treated 54 patients with chronic subdural hematoma complicated with cerebral hernia with drilling external drainage. After the operation, all patient were closely drained and their brain expansions were promoted with isotonic solution. Result After the operation, 48 cases were awake in 2 h-7 d; 46 patients＇ paralyzed body strength recovered well, 7 cases＇ recovered a little more poorly; 4 patients recurred（ 7.4% ）; 1 case died （ 1.85% ）. Conclusion Treating patients with chronic subdural hematoma complicated with cerebral hernia with drilling external drainage has obvious postoperative neurological function recovery and satisfied results.
出处
《国际医药卫生导报》
2012年第1期35-37,共3页
International Medicine and Health Guidance News
关键词
慢性硬膜下血肿
脑疝
微创手术
Chronic subdural hematoma
Cerebral hernia
Minimally invasive surgery
