急性硬膜下血肿新型救治模式的建立及临床研究  

Establishment and clinical study of new treatment mode for acute subdural hematoma

作　　者：陆将[1] 贺世明[2] 王学廉[2] 王伯良[1] 曹义战[1] 何保健[1] 高国栋[2] 

机构地区：[1]解放军第四军医大学唐都医院急诊科,陕西西安710038 [2]解放军第四军医大学唐都医院神经外科

出　　处：《中国急救医学》2006年第10期656-658,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的建立急性硬膜下血肿新型救治模式,探讨、评价该救治模式的有效性。方法回顾性分析了唐都医院2003-01～2006-01采用新型救治模式治疗的急性硬膜下血肿患者635例,以2000-01～2002-12期间采用传统治疗方法的568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,评价该治疗模式的有效性。结果两种救治模式对轻型患者结果差异不大,新型救治模式对中型、重型患者减轻了血肿压迫,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,降低了死亡率,提高了治疗效果。结论急性硬膜下血肿新型救治模式显著提高了急性硬膜下血肿的治疗效果,缩短了脑组织受压时间,减少了开颅手术次数和平均住院时间,该模式是一套完善的、高效的急性硬膜下血肿救治模式,为急性硬膜下血肿的治疗开辟了新的思路和方法。Objective To establish new treatment mode for acute subdural hematoma , and to study and assess the effectiveness of the new treatment mode. Methods 635 cases of acute subdural hematoma who were treated with new treatment mode from January 2003 to January 2006, contrasted with 568 cases who were treated with traditional treatment mode from January 2000 to December 2002 for establishing a new treatment mode of acute subdural hematoma . The curative effects of the mode were evaluated by statistical results, the times of craniotomy and hospitalization time. Results There were no significant differences between mild cases of two groups. Compression of hematoma were lessened, absorption time were shortened and hospitalization time were reduced among the moderate and severe cases in new mode group. Craniotomy were avoided in some of the cases. Enough preparation time before craniotomy was obtained, mortality was lowered and curative effect was improved. Conclusion The new treatment mode for acute subdural hematoma can notably improve curative effects, shorten compression time of brain tissue, reduce the times of craniotomy and average hospitalization time, The new mode is perfect and effective method and a new way for treating acute subdural hematoma.

关 键 词：急性硬膜下血肿 救治模式 钻孔引流 

分 类 号：R651.15[医药卫生—外科学]