硬脑膜减张缝合在脑疝减压手术中的应用  

作　　者：刘和龙 郝万江 呼其图 张勇 马雪峰 王永军 陈德福 

机构地区：[1]内蒙古呼伦贝尔市医院神经外科,021008

出　　处：《中外健康文摘》2009年第02X期9-10,共2页The Chinese and foreign health abstract

摘　　要：目的探讨脑疝病人在大骨瓣减压术中，硬膜减张缝合技术的应用优点与注意事项。方法本组分析自2004年3月～2008年3月行标准大骨瓣减压手术的48例脑疝患者，术中均给予行硬脑膜减张缝合技术，分析其结果。结果脑肿胀及不可控的脑水肿颅内压增高仍是主要致死原因，术后近期大部分病人的减压效果满意．部分患者术后出现急性脑肿胀膨出及减压性颅内出血情况等。结论改良的硬膜减张缝合技术是一种有效的重度颅脑损伤治疗方法，部分并发症应引起临床重视。Purpose Cerebral hernia patients in the decompression of the bone, dura mater by suture with the merits of the application note.Method： Analysis of this group since March 2004 to March 2008 to standard large trauma of the 48 cases of decompression surgery in patients with cerebral hernia operation in the line are given by subdural suture technology, analysis of the results. Results. Uncontrollable brain swelling of the brain edema increased intracranial pressure is still the main cause of death, most patients after the recent effects of decompression satisfaction, and some patients with acute brain swelling protruding and decompression of intracranial hemorrhage, etc. Conclusion： Subdural improved by suture technology is an effective treatment of severe brain injury means that some complications arising from clinical attention should be.

关 键 词：大骨瓣减压术 减张缝合 脑疝 

分 类 号：R743[医药卫生—神经病学与精神病学]