脑基底池引流在重型颅脑损伤的价值  

Value of Drainage of Basicranial Pool in Severe Head Injury

作　　者：刘健[1,2] 高立达[1,2] 

机构地区：[1]海南省人民医院神经外科 [2]成都华西医科大学附属第一医院神经外科

出　　处：《中华创伤杂志》1995年第5期309-310,共2页Chinese Journal of Trauma

摘　　要：报告重型颅脑损伤２２例，于伤后２４小时内采用开颅清除血肿并行天幕切开脑基底池引流。术后测定其乳酸浓度和红细胞含量以了解伤情变化。认为天幕切开脑基底池引流不仅能降低ＩＣＰ，而且有助于解除脑疝对脑干的嵌压，同时血性ＣＳＦ外引流尚可减轻脑血管痉挛和减少外伤性脑积水的发生，从而降低重型颅脑损伤的死亡率。A total of 22 cases with severe head injury received craniotomy for clearance of hematoma,incision of tentorium and drainage of basicranial pool within 24 hours after injury were analysed in this article.The lactic acid and RBC in CSF were meassured after operation for evaluation of the injury.The results indicated that the incision of tentorium and drainage of basicranial pool may not only lower ICP,but also reduce the forcipressure of cerebral hernia to brain stem.In addition,the drainage of bloody CSF may decrease spasm of cerebral vessels and incidence of posttraumatic hydrocephalus,which finally decrease the mortality of severe head injury.(Original article on page 309)

关 键 词：基底池 引流术 颅脑损伤 

分 类 号：R651.15[医药卫生—外科学]