重型颅脑损伤去骨瓣减压术后皮瓣下积液的防治  

Prevention and treatment of scalp effusion after removing bone valve decompression for the severe craniocerebral injury

作　　者：陈为涛 王绪堂 张剑 李勇 

机构地区：[1]山东省莒南县人民医院神经外科,276600

出　　处：《中国实用医药》2010年第15期56-57,共2页China Practical Medicine

摘　　要：目的研究32例重型颅脑损伤去骨瓣术后皮瓣下积液形成原因及防治。方法回顾性分析32例重型颅脑损伤去骨瓣术后皮瓣下积液病例,对其发生原因、防治方法进行讨论。结果保守观察8例;24例分别行头皮穿刺或者手术治疗,痊愈13例,好转1例。结论积液量少者可以保守观察,对于积液量多、临床症状进行性加重的患者宜选择头皮穿刺或者手术治疗。经过积极处理,多能取得满意的治疗效果。Objective To study the prevention, treatment and cause of scalp effusion after removing bone valve decompression for 32 patients with severe craniocerebral injury. Methods Pathogeny, prevention and treatment of 32 cases of scalp effusion after removing bone valve decompression for severe craniocerebral injury were analyzed retrospectively. Results 8 of 32 cases used the conservative therapy, 24 cases used punc-ture of scalp or operation therapy.13 cases of patients were cured,1 case of patient was improved. Conclusion Patients with little scalp effusion can be treated with conservative therapy. For those with heavy effusion and progressively heavy clinical symptoms should choode puncture of scalp or operation methods.

关 键 词：去骨瓣减压术 皮瓣下积液 重型颅脑损伤 防治 

分 类 号：R651.1[医药卫生—外科学]