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颅脑手术后合并非手术区硬膜外血肿的诊治

Diagnosis and therapy of extradural hematoma supervenedafter intracrankal operation at nonoperating region

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【作者】 李玉敏朱捷丁健谈华郭志波石水法

【Author】 Li Yumin, Zujie, Ding jinn et al, Dept of Neurosurgery Luoyang 4th Hospital, Luoyang 471000

【机构】 洛阳市第四人民医院外科洛阳市第四人民医院外科 471000471000

【摘要】 目的:探讨颅脑手术后合并非手术区硬膜外血肿的发病机理,临床特点、诊断和治疗方法。方法:总结11例颅脑手术后合并非手术区硬膜外血肿的原发疾病及手术方式,合并硬膜外血肿发生的时间,血肿部位,血肿量及其预后。结果:治疗颅脑手术后合并非手术区硬膜外血肿11例,痊愈8例,轻偏瘫2例,死亡1例。结论:颅脑手术后合并硬膜外血肿常发生在儿童及年轻人,硬膜外血肿发展快,体积大,短时间出现症状;缺乏特异性表现,且常发生在较小手术之后,此种血肿可发生在手术中的不同阶段和手术后的任何时期,特别是病变切除后有脑组织下塌和遗留有较大空腔者,须行颅内压监测。适时复查CT或MRI,及时确诊。

【Abstract】 objective;To discuss the invasion mechanism and the clinical point and the way of diagnosis and therapy aboutex-tradural hematoma supervened after intracranical operation at non-operating region. Methods; the primary sickness and the way of operation and the happenning time and the happenning time and the site and the magnitude and the prognisis about extradural hematoma supervened after intracanical operation at non operating region was summarixed in 11 cases. Results :extradural hematoma supervened after intracranical operation at non operating region was treated in 11 cases,cure in 8 cases,light hemiplegia in 2cases death in 1 case. Conclusions: extradural hematoma supervened after intracranical operation at non operating regio oftgion be seen in the children and youngths.Extradural hematoma expand fast.Popdiagnostics in short time.No specific seal.It often be seen in light operation .We ought have our wits about it.It can be seen at anv stages during operation or after operation.Intracranical pressure must be monitored after intracranical operation,on timerepent CT or MRI,On time ascrtain diagnosis.

  • 【文献出处】 河南外科学杂志 ,Henan Journal of Surgery , 编辑部邮箱 ,1998年03期
  • 【分类号】R651.1
  • 【下载频次】24
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