外伤性迟发性硬膜外血肿的临床分析  

Clinical analysis of traumatic delayed epidural hematoma

作　　者：谷晓辉 张玉成 陈强[2] 张世忠[2] 吴胜青 伍海青 叶建堂 李景东 

机构地区：[1]东莞市石碣人民医院神经外科,广东523290 [2]南方医科大学珠江医院神经外科,广州510282

出　　处：《中华神经医学杂志》2008年第5期522-523,共2页Chinese Journal of Neuromedicine

摘　　要：目的探讨脱水剂及手术治疗对外伤性迟发性硬膜外血肿（DEDH）的影响。方法回顾性分析我科36例外伤性迟发性硬膜外血肿患者治疗过程中脱水剂的使用及手术治疗对治疗DEDH的效果。结果脱水剂的使用诱导了本组DEDH的产生，尤其对伴有颅骨骨折的患者，更容易发生DEDH。血肿量大的患者手术治疗可获得更好的疗效。结论颅骨骨折DEDH患者应慎用脱水剂，早期积极手术治疗可以获得较好的治疗效果。Objective To explore the influences of dehydrating agent usage and operation on traumatic delayed epidural hematoma （DEDH）. Methods The dose and time of dehydrator administration and surgical outcomes were retrospectively analyzed in 36 DEDH cases. Results In the 36 cases, dehydrator administration promoted the occurrence of DEDH, especially in the ones with skull fracture. The surgical treatment was very effective for the patients with large hematoma. Conclusion Dehydrating agent usage may increase the incidence of DEDH, so dehydrator should be cautiously used for the cases of skull fracture. Early and active surgery can effectively treat the DEDH patients.

关 键 词：迟发性硬膜外血肿 脱水剂 手术治疗 

分 类 号：R651.15[医药卫生—外科学]