摘要
目的：探讨慢性硬膜下血肿钻孔引流术后急性硬膜下出血的原因与治疗方法。方法收集我院神经外科在2010－12～2013－12间行慢性硬膜下血肿行钻孔引流手术患者的资料，统计术后出现急性硬膜下出血患者的资料，对其进行回顾性分析。结果通过对比手术前后的头颅CT，共有16例慢性硬膜下血肿患者手术后出现急性硬膜下出血，治疗效果较差，3例患者行开颅手术治疗，死亡2例，慢性血肿复发4例。分析其出血来源有三个方面。结论慢性硬膜下血肿术后急性硬膜下出血并不罕见，根据患者的特点采取合理的治疗方式可以有效减少此类并发症的发生。
Objective To discuss the causes and treatment of chronic subdural hematoma （CSDH） after drilling drainage leading to a-cute subdural hemorrhage.Methods Drill drainage surgery for CSDH cases in the last three years was collected , and clinical data of acute subdural hemorrhage after operation were analyzed retrospectively.Results By comparing skull CT before and after surgery , there were 16 cases with CSDH after drilling drainage leading to acute subdural hemorrhage.They had poor prognosis in 4 recurrent cases with chronic he-matoma, 3 cases with craniotomy and 2 died.There were three aspects of bleeding.Conclusion CSDH after drilling drainage leading to a-cute subdural hemorrhage is not uncommon.According to the characteristics of the patients , taking reasonable treatment can effectively re-duce such complications.
出处
《黑龙江医学》
2015年第1期35-37,共3页
Heilongjiang Medical Journal
