急性硬膜下血肿救治的新模式(附126例分析)  

Clinical Analysis of 126 Cases Acute Subdural Hematomas Treated by New Treatment Mode

作　　者：葛岭[1] 周懿[1] 黄晓伟[1] 陈洁波[1] 

机构地区：[1]上海市杨浦区中心医院神经外科,200090

出　　处：《中国医药指南》2008年第23期9-10,共2页Guide of China Medicine

摘　　要：目的探讨急性硬膜下血肿治疗的新模式,评价新模式的治疗效果。方法回顾性分析了采用新模式治疗的急性硬膜下血肿患者126例,以采用传统治疗方法的238例急性硬膜下血肿患者为对照,通过统计分析治疗效果、开颅手术量次、住院时间,评价该治疗新模式的有效性。结果轻型患者结果差异不大,中型、重型患者减轻血肿压迫,缩短了血肿吸收期,减少了住院时间,部分重型患者避免了开颅手术,重型和特重型患者争取了手术时间,降低了病死率,提高了治疗效果。结论急性硬膜下血肿新模式提高了急性硬膜下血肿的治疗效果,为急性硬膜下血肿的治疗开辟了新的思路和方法。Objective Establishing new treatment mode for remedying acute subdural hematoma,studying and assessing the effectiveness of the new treatment mode.Methods Retraspectively analysed 126 cases of acute subdural hematoma who were treated by new treatment mode,contrasted with 238 cases who were treated by traditional treatment mode for establishing a new treatment mode for remedying acute subdural hematoma and evaluated the curative effects of the mode by statisticsly analysing results,times of craniotomy and hospitalization time.Results There were no significant difference between mild cases of two groups.Compression of hematoma were lessened,absorption time were shortened and hospitalization time were reduceed among the moderate and severes cases of new mode group.Craniotomy were avoided in some of the cases.Geting enough preparation time before craniotomy ,motality were lowered and improved curative effect.Conclusion The new treatment mode for remedying acute subdural hematoma notablely improved curative effects,shorten compression time on brain,reduced times of craniotomy and average hospitalization time.Providing a new consideration and way for rescuing acute subdural hematoma.

关 键 词：急性硬膜下血肿 救治策略 钻孔引流 

分 类 号：R651.15[医药卫生—外科学]