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慢性硬膜下血肿钻孔冲洗术后并发张力性颅内积气

Subdural tension pneumocephalus following burr hole irrigation of chronic subdural hematoma

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【作者】 刘世玉生勇姚振庆曹旭东

【Author】 LIU Shiyu, Sheng Yong, YAO Zhenqing, et al. Department of Neurosurgery, People’s Hospital of Lai zhou,Shangdong 261400,China

【机构】 山东省莱州市医院

【摘要】 目的 探讨导致慢性硬膜下血肿钻孔冲洗术后张力性颅内积气的主要因素及治疗方法。方法 结合文献对本并发症的发生机制、临床表现、治疗及预防措施进行讨论。结果  4例均治愈出院。结论 慢性硬膜下血肿术后引流不畅 ,受压的脑组织未能及时复位 ,血肿包膜损伤及硬膜裂口的单向活瓣形成可能是形成该并发症的主要因素

【Abstract】 Objective To discuss the main factors leading to the subdural tension pneumocephalus following burr hole irrigation of chronic subdural hematoma and the treatment of pneumocephalus.Methods The pathogenesis, clinical feature, treatment and preventive measures of such a complication are discussed.Results 4 caese were cured. Conclusion We consider that the main factors leading to pneumocephalus may be the drainage obstructive, damage to hematoma capsule during operation unidirection valves formed from dural laceration and delay re expansion of the compressed brain.

  • 【文献出处】 河北医药 ,HEBEI MEDICAL JOURNAL , 编辑部邮箱 ,2000年08期
  • 【分类号】R651.15
  • 【被引频次】9
  • 【下载频次】39
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