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改良钻孔引流术治疗慢性硬膜下血肿

Management of Chronic Subdural Hematoma by Improved Trepanation and Drainage

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【作者】 朱创业黄思庆周俊潘绍云

【Author】 ZHU Chuang-ye,HUANG Si-qing,ZHOU Jun,et al.1.Department of Neurosurgery,Jiajiang County People’s Hospital,Jiajiang Sichuan,614100,China;2.Department of Neurosurgery,West China Hospital,Sichuan University,Chengdu 610041,China

【机构】 四川省夹江县人民医院神经外科四川大学华西医院神经外科

【摘要】 目的:改良钻孔引流术治疗慢性硬膜下血肿27例,提高临床治疗效果。方法:术中可控下持续生理盐水冲洗后,加入尼莫地平注射液排空,术后低渗或等渗液体维持脑灌注压。结果:27例慢性硬膜下血肿经上述措施处理后,经随访均达到满意临床治疗效果。结论:慢性硬膜下血肿钻孔引流术中加用尼莫地平注射液冲洗、排气,及规范化术后处理措施可提高临床疗效。

【Abstract】 Objective:Management of of chronic subdural hematoma by improved trepanation and drainage to improve the clinic effects.Methods:Flushing subdural hematoma cell by saline and releasing air through Nimodipine solution during operation,and maintaining cerebral perfusion pressure by hypotension and iso-osmia injection after operation.Results:Twenty seven patients with chronic subdural hematoma were managed by the methods and obtained good treatment therapeutic efficacy during follow up.Conclusion:These patients suffered with chronic subdural hematoma are treated by Nimodipine solution flush and release during operation who will have good therapeutic efficacy.

  • 【文献出处】 华西医学 ,West China Medical Journal , 编辑部邮箱 ,2009年09期
  • 【分类号】R651.1
  • 【被引频次】2
  • 【下载频次】42
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