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慢性硬膜下血肿钻孔引流术后并发症的防治
The Prevention and Therapy about Postoperative Complications of Chronic Subdural Hematoma Drilling Drainage
【摘要】 目的:分析CSDH(慢性硬膜下血肿)行钻孔引流术治疗的术后并发症及防治措施。方法:选取2008年9月-2013年9月收治的CSDH患者150例,分析临床治疗情况,以及并发症发生情况和防治措施。结果:术后总治愈率为98.7%;共出现血肿复发、颅内积气、颅内感染、脑脊液漏、癫痫、继发颅内血肿以及心衰等7种并发症;血肿复发发生率相对最高,颅内感染的发生率相对最低(P<0.05)。结论:CSDH在行钻孔引流术治疗时,应及早采取合理措施积极防治并发症,以保证手术效果。
【Abstract】 Objective: To analyze the prevention and therapy about postoperative complications of chronic subdural hematoma drilling drainage. Method: 150 patients with CSDH were selected from September 2008 to September 2013,then analyzed the situation of the clinical treatment, complications, the prevention and therapy measures. Result: The postoperative total cure rate was 98.7%; and there had 7 kinds of complication such as hematoma, intracranial pneumatosis, intracranial infection, cerebrospinal fluid leakage, epilepsy, secondary intracranial hematoma and heart failure; the incidence of recurrent hematoma was relatively high, the incidence of intracranial infection was relatively low(P<0.05). Conclusion: The treatment with CSDH in drilling drainage should take reasonable measures early to prevent complications, so as to ensure the operation effect.
【Key words】 CSDH; Drilling drainage; Complications; Prevention and therapy measures;
- 【文献出处】 中国医学创新 ,Medical Innovation of China , 编辑部邮箱 ,2014年04期
- 【分类号】R651.1
- 【被引频次】11
- 【下载频次】54