外伤性硬膜下积液  

TRAUMATIC SUBDRAL EFFUSION

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作  者:王道奎[1] 张振兴[1] 张增富[1] 王寿先[1] 王永和[1] 钱捷[1] 

机构地区:[1]潍坊市人民医院神经科

出  处:《潍坊医学院学报》1990年第3期63-65,共3页Acta Academiae Medicinae Weifang

摘  要:总结了11例经CT及手术证实的外伤性硬膜下积液。提出了广泛硬膜下积液的形成原因。讨论了CT诊断价值,认为CT未显影者是因积液内混入血液使其CT值接近脑组织所致,可根据占位效应考虑到外伤性硬膜下积液可能。治疗以钻孔引流为主,对广泛硬膜下积液应行硬膜下腔持续引流直到脑组织逐步复位积液腔闭合。11 cases of traumatic subdural fluid accumulation were provedby C.T. and operations. The causes of diffused subdural fluidaccunulation were pointed out. The value of C.T. is discussed. The cause of negative scanning is due to the fact that the accunulation of fluid mixed with blood is of similar consistencywith that of the brain tissue in C. T. scanning. Diagnosis may be made by the space-occupying effect. Fenestration and drainage is the main method of treatment. As for treatment of diffused subdural fluid accumulation contiwous subdural drainag euntil the brain resumes its original place.

关 键 词:外伤性 硬膜下积液 病因 诊断 

分 类 号:R651.15[医药卫生—外科学]

 

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