微创治疗急性硬膜外血肿  

The treatment of acute extradural hematoma with minimally invasive surgery

作　　者：赵英志[1] 张兴春[1] 李凤强[1] 于守波[1] 曹惠芳[1] 刘丽娟[1] 王秋爽[1] 

机构地区：[1]吉林省前卫医院,吉林长春130012

出　　处：《吉林医学》2006年第7期744-745,共2页Jilin Medical Journal

摘　　要：目的:探讨微创治疗急性硬膜外血肿的方法及临床实用性。方法:对53例急性硬膜外血肿患者进行3孔悬吊,单管尿激酶溶解血肿引流治疗,对治疗效果进行总结。结果:47例临床治愈,2例术后原发部位血肿增加,实施开颅硬膜外血肿清除手术后治愈。4例术后并发同侧或对侧脑内血肿,好转3例,死亡1例。结论:3孔悬吊,单管尿激酶溶解血肿引流是急性硬膜外血肿的一种简易、有效、安全的治疗方法。Objective To explore the therapeutic and clinic practice of minimally invasive surgery on acute extradural hematoma. Method 53 cases＇meninges were suspended through 3 skull holes ,drain hematoma by a drainage tube and injection of urokinase, the therapeutic effect was summarized. Results 47 cases were cured. After the surgery 2 cases＇hematoma of the same position increased and were cured after the surgery of incision skull . intracerebral hematoma in the same side or the other side were observed in 4 cases and 3 of them were on the mend, 1 of them died. Conclusion Suspended through 3 skull holes and drain hematoma by a drainage tube and injection of urokinase is a simple,effective and safe treatment method for acute extradural hematoma.

关 键 词：微创 尿激酶 硬膜外血肿 

分 类 号：R651.1[医药卫生—外科学]