慢性硬脑膜下血肿钻孔引流术后死亡病例分析  

Analysis of died patients with chronic subdural hematoma following burr-hole and drainage treatment

作　　者：夏寒松[1] 陈磊[2] 吴海波[2] 唐超[2] 刘卫东[1] 梁玉敏[2] 

机构地区：[1]上海市浦东新区浦南医院神经外科,上海200125 [2]上海交通大学医学院附属仁济医院神经外科,上海200127

出　　处：《神经病学与神经康复学杂志》2010年第3期146-148,共3页Journal of Neurology and Neurorehabilitation

摘　　要：目的总结慢性硬脑膜下血肿钻孔引流术后死亡的原因。方法回顾性总结16例采用钻孔引流术治疗慢性硬脑膜下血肿后死亡病例的临床资料。结果共有患者16例,男12例、女4例,平均年龄(75±11)岁;占同期钻孔引流手术治疗慢性硬脑膜下血肿的484例的3.3%;单侧血肿13例、双侧血肿3例。12例死于内科并发症,3例死于手术相关并发症,1例死于意外;死亡时间平均为术后(36±89)d。结论注重患者的全身状况和防治手术相关的并发症是减少钻孔引流术治疗慢性硬脑膜下血肿术后死亡的关键。Objective To investigate the causes of death in patients with chronic subdural hematoma(CSDH) following burr-hole and drainage treatment.Methods The clinical data of 16 patients with CSDH who died following burr-hole and drainage were reviewed retrospectively.Results Among 16 patients,12 were male and 4 were female,with an average age of(75±11)years.They accounted for 3.3% of 484 patients with CSDH treated by burr-hole and drainage at the same period.Three patients had unilateral hematoma and 13 had bilateral hematomas.The causes of death were medical complications in twelve patients,operation-related complications in three patients,and unknown sudden death in one patients.The average interval between operation and death was(36±89) days.Conclusion More attentions should be paid to the general conditions and the operation related complications in patients with CSDH treated by burr-hole and drainage.

关 键 词：慢性硬脑膜下血肿 钻孔引流术 并发症 

分 类 号：R651.1[医药卫生—外科学]