水囊压迫防止颅内血肿术后再出血的临床研究  

Research on the preventing rehaemorrhagia postoperative of the intracranial hematoma by hyponome oppressing

作　　者：谭宗德[1] 李平[1] 程新富[1] 林爱龙[1] 张志强[1] 刘宗霖[1] 钱晟[1] 陈红庆[1] 

机构地区：[1]解放军161中心医院神经外科,武汉430010

出　　处：《中国实用神经疾病杂志》2011年第1期15-17,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨水囊血肿腔压迫防止颅内血肿清除术后继发再出血的临床效果。方法在进行水囊对模拟颅内压的影响实验后,前瞻性研究了76例颅内血肿清除术后病人应用水囊血肿腔压迫,24 h后分次水囊放水,72 h拔除双腔引流管,并行头部动态螺旋CT检查,3月后根据GOS评分判断临床效果。结果本组术后继发再出血2例(2.6%),恢复良好49例,中残16例,重残6例,死亡5例。结论水囊血肿腔压迫对防止颅内血肿清除术后继发再出血有可靠效果,并提高其抢救成功率。Objective To study the clinical therapeutic effect on preventing in-secondary rehaemorrhagia postoperative of the intracranial hematoma by hyponome oppressing hematoma cavern.Methods After experimenting the influence of the hyponome to the modeling intracranial pressure,we prospectively studied the hyponome oppressing hematoma cavern in 76 patients after the cleaning operation to intracranial hematoma,after 24 hours water being drained in the hyponome fractionation,after 72 hours drawing the double-cavern drainage tube,kinesis spiral computerized tomographic scanning to cephalosome and after 3 months judging the clinical results according to Glasgow coma score.Results In-secondary rehaemorrhagia postoperative in 2 patients（2.6%）,recuperate good in 49 patients,moderate disability in 16 patients,severe disability in 6 patients,death in 5 patients.Conclusion It is a reliable result that preventing in-secondary rehaemorrhagia after cleaning operation to intracranial hematoma by hyponome oppressing hematoma cavern,which could raise the achievement ratio of the rescue.

关 键 词：颅内血肿 水囊 再出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]