YL-1粉碎针在脑内血肿应用的误区  

The error of YL-1 puncture needle use in intracranial hematoma treatment

作　　者：徐屹[1] 冯国余[2] 孙永权[1] 李锦平[1] 宋英伦[1] 顾洪库[2] 

机构地区：[1]首都医科大学附属北京朝阳医院神经外科,北京100020 [2]清华大学第一附属医院华信医院神经外科,北京100016

出　　处：《中国微侵袭神经外科杂志》2008年第6期244-246,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨YL-1型颅脑穿刺针治疗脑内血肿的误区及危险。方法通过观察临床症状及CT表现对粉碎针粉碎血肿的原理进行深入再分析及再试验。结果1176例病人中应用粉碎针粉碎血肿39例(3.3%),应用粉碎针后12h复查CT16例(16/39,41%),其中粉碎针周围脑组织呈放射线状低密度影像5例(5/16,31%),临床症状加重13例(13/39,33%)。结论涡流原理是清洗粉碎血肿的基本原理,由于加工工艺达不到设计要求,无法形成涡流,高压水柱从粉碎针前端多个微孔垂直射出,直接射入血肿和脑组织内,2次或多次损伤脑组织。为了安全和疗效,建议粉碎针除在慢性硬膜下血肿和硬膜外血肿应用外,脑内血肿慎用或禁用。Objective To discuss the errors and dangers of the YL-1 type encephalic puncture needle in intracranial hematoma treatment. Methods The in-depth re-analysis and re-test of the principles in the YL-1 puncture needle use for treating intracranial hematoma were carried out by means of clinical symptoms and CT images. Results Thirty-nine (3.3%) out of 1 176 patients received grinding of the intracranial hematoma using the puncture needle, 16 (41%) of the 39 patients were re-examined by CT 12 h after the grindin...

关 键 词：颅内出血 血肿 穿刺术 

分 类 号：R741[医药卫生—神经病学与精神病学]