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微创穿刺术救治脑疝型脑出血的临床转化思考

Application of Clinical Transformational Thinking in Minimally Invasive Puncture Treatment of Hernia Cerebral Hemorrhage Patients
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摘要 目的探讨转化思维指导下,微创穿刺血肿引流术救治保守治疗无效的脑疝型脑出血患者的可行性。方法回顾性分析2015年7月—2016年3月我院应用YL-1型穿刺针实施微创穿刺血肿引流术救治2例保守治疗无效的脑疝型脑出血患者的临床特点和影像学资料。结果所有患者均一次性穿刺成功,临床症状消失,无继发出血,无并发症发生,无死亡病例,复查颅脑CT证实颅内血肿清除满意,出院随访12个月,所有患者恢复良好。结论转化思维指导下微创穿刺血肿引流术救治保守治疗无效的脑疝型脑出血患者是可行的,其创伤小,安全性高,术后恢复快,并发症少,费用低廉,适合各层次医院开展应用。 Objective To explore the feasibility of minimally invasive puncture for the treatment of hernia cerebral hemorrhage patients under the guidance of transformational thinking. Methods The clinical characteristics and imaging data of 2 cases of hernia cerebral hemorrhage treated by YL-1 puncture needle were retrospectively analyzed between July 2015 and March 2016 in our hospital. Results All patients were successful in one- time puncture, clinical symptoms disappeared, no secondary hemorrhage, no complications, no deaths, review of brain CT confirmed intracranial hematoma satisfaction, discharge follow-up for 12 months, all patients recovered well. Conclusion It is feasible to treat patients with hernia cerebral hemorrhage by minimally invasive puncturing under the guidance of transformational thinking. It has the characteristics of less trauma, high safety, quick recovery and low cost. It is suitable for hospitals at all levels.
作者 王栋
出处 《中国卫生标准管理》 2017年第12期25-28,共4页 China Health Standard Management
基金 重庆市科技计划项目(cstc2016jcyj A0110)
关键词 脑疝型脑出血 微创 穿刺术 转化 hernia cerebral hemorrhage minimally invasive puncture transformation
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