颅骨钻孔清除迟发性脑内血肿后脑水肿带的变化特点  

The change and trait of brain edema district after scavenging the delayed intracerebral hematoma by skull drilling

作　　者：杜晓光[1] 张建斌[1] 纪延伟[1] 董保忠 

机构地区：[1]山东省交通医院,250031

出　　处：《中国医学创新》2010年第5期1-3,共3页Medical Innovation of China

摘　　要：目的选择轻、中度颅脑外伤患者伴发的迟发性脑内血肿，分析经微创清除血肿后脑水肿带的变化特点，为此类患者的治疗提供一个更科学的理论依据及完善的治疗方法。方法对所选择的迟发性脑内血肿的患者30例进行颅骨钻孔辅以脯内窥镜清除血肿，术后辅以尿激酶溶解残留血肿；随机选择同期30例患者进行保守治疗。结果两组患者术后或发现血肿后第3天、第15天的灶周最大水肿面积之间有显著性差异（P〈0．05）。结论应用微创法清除迟发性脑内血肿，可以显著减轻血肿造成的脑水肿，为伴有迟发性脑内血肿的轻、中度颅脑外伤患者的治疗提供了科学的理论依据。Objective Select the delayed intracerebral hematoma which accompany the patients suffered from light or mild degree cerebral trauma, analyzing the change and trait of brain edema district after scavenging the hematorna by microtrauma, to provide a more scientific theory foundation and reasonahle treatment for these patients. Methods Sixty patients with delayed intracerebral hematoma were divided randomly into therapy gronp and control group, thirty patients in the therapy group were treated in the way of skull drilling assisted with endoscope to eliminate the hematoma and urokinase were used to dissolve the remaining he matoma, the other thirty patients in the control group received conservative therapy. Results There are significantly difference between the areas of edema around the hematoma on the third day and the fifteenth day after the surgery＇ or after the finding of the hematoma（P 〈 -. 05）. Conclusion The method to eliminate the delayed intracerebral hematoma with microtrauma can reduce the brain edema which was caused by hematoma significantly. It provides scientific theory foundation for the patients suffered from light or mild degree cerebral trauma.

关 键 词：颅骨钻孔 迟发性脑内血肿 脑水肿 

分 类 号：R651.15[医药卫生—外科学] R269.511[医药卫生—临床医学]