外侧裂区急性硬膜下血肿的临床分析  

Analysis of acute subdural hematoma in lateral fissure district

作　　者：黄辉[1] 胡志强[1] 马大程[1] 肖志勇[1] 戴彬[1] 关峰[1] 张尧[1] 朱广通[1] 

机构地区：[1]北京世纪坛医院神经外科,北京100038

出　　处：《创伤外科杂志》2006年第5期388-390,共3页Journal of Traumatic Surgery

摘　　要：目的探讨外侧裂区急性硬膜下血肿的治疗方法。方法对46例患者进行回顾性分析,全部病例入院后即行头颅CT检查,其中44例行手术治疗。结果本组外侧裂区急性硬膜下血肿主要是因脑挫裂伤,皮层血管破裂出血所致,手术是其主要治疗手段。本组死亡15例,重残3例,轻残8例。结论外侧裂区急性硬膜下血肿死亡率较高,应尽快明确诊断,及时手术,手术宜采取大骨瓣开颅。术后可给予活血药物以改善脑缺血缺氧。Objective To investigate the treatment of acute subdural hematoma in lateral fissure district. Methods The clinical data of 46 patients with acute subdural hematoma was analysed. All the patients took head CT examination after adimission,44 patients were treated operatively. Results For most patients,contusion and laceration of brain and bleeding caused by cortical angiorrhexis were primary causes of acute sulxlural hematoma in lateral fissure district. Operation is the main treatment. Fifteen cases died,severe disability in 3 cases,slight disability in 8 cases. Conclusion The death rate of acute severe subdural hematoma in lateral fissure district is high, the treatments should be performed as early as possible. The major bone-flap craniotomy is the primary method of operation. Drugs of promoting blood flow should be given to improve cerebral ischemia and anoxia.

关 键 词：颅脑损伤 硬膜下血肿 外侧裂 手术 

分 类 号：R651.15[医药卫生—外科学]