一侧急性颅内血肿清除术中继发对侧迟发性颅内血肿的治疗体会  

Treatment of the contralateral delayed intracranial hematoma secondary to acute intracranial hematoma intraoperative removal of one side

作　　者：刘生华[1] 齐再利[1] 张合林[1] 李香迎[1] 田爱民[1] 王吉华[1] 

机构地区：[1]济南市第三人民医院神经外科,济南250101

出　　处：《国际外科学杂志》2009年第10期661-663,共3页International Journal of Surgery

摘　　要：目的探讨一侧急性颅内血肿清除术中继发对侧迟发性颅内血肿的治疗方法。方法回顾性分析13例急性颅内血肿术中继发对侧迟发性颅内血肿患者的临床资料，采用一次开颅清除双侧血肿。结果术后按Glasgow（GOS）评定预后，其中良好4例，中残4例，重残2例，植物生存1例，死亡2例。结论采用一次开颅治疗一侧急性颅内血肿清除术中继发对侧迟发性颅内血肿的效果显著，可以提高患者的生存率和生活质量。Objective To investigate the treatment method of the contralateral delayed intracranial hematoma secondary to acute intracranial hematoma intraoperative removal of one side. Methods A retrospective analysis was made in of 13 cases of contralateral delayed intraeranial hematoma secondary to acute intracranial hematoma intraoperative removal of one side, we used bilateral hematoma removal in one eraniotomy. Results Assessment of prognosis was done by GOS, 4 cases were good, 4 cases were residual, 2 cases were severely disabiled, 1 case was vegetative, 2 cases ded. Conclusion One craniotomy for the treatment of contralateral delayed intracranial hematoma secondary to acute intracranial hematoma removal of one side can improve survival rate and quality of life.

关 键 词：急性颅内血肿 迟发性颅内血肿 双侧开颅 去大骨瓣减压 

分 类 号：R651.15[医药卫生—外科学] R364.3[医药卫生—临床医学]