手术治疗急性硬膜外血肿的临床分析  

Clinical analysis of surgical treatment of acute epidural hematoma

作　　者：黄文强[1] 王东华[1] 朱盛[1] 

机构地区：[1]四川省大竹县人民医院神经外科,635100

出　　处：《求医问药（下半月刊）》2011年第12期175-176,共2页Seek Medical and Ask The Medicine

摘　　要：目的:总结急性硬膜外血肿的手术治疗经验及效果。方法:回顾性分析我院2007年01月至2011年06月收治的71例外伤后急性硬膜外血肿患者的临床资料。主要根据临床表现及影像学检查来确诊。根据不同的病情,采取不同的手术方法。结果:恢复良好者62例(87.3%);轻度致残者4例(5.6%);重度致残者2例(2.8%);死亡3例(4.2%)。结论:对急性硬膜外血肿应早期诊断,动态监测,个体化治疗并及时手术干预血肿清除,才能降低病人的死亡及致残率。Objective To summarize the surgical treatment of acute epidural hematoma experience and results.Methods From the retrospective analysis of our hospital from January 2007 to June 2011,there are 71 patient＇s cases of traumatic acute epidural hematoma from clinical data,which were diagnosed mainly based on clinical manifestations and imaging tests.Depending on the condition,patients were treated by different surgical approach.Result Patients with good recovery were 62 cases（87.3%）;mild disability in 4 cases（5.6%）;severe disability in 2 cases（2.8%）;3 patients died（4.2%）.Conclusions In order to reduce the patient＇s death and disability percentage,early diagnosis should be applied to acute epidural hematoma,with dynamic monitoring,individual therapy and timely surgical intervention hematoma.

关 键 词：急性硬膜外血肿 手术 个体化治疗 

分 类 号：R730.56[医药卫生—肿瘤]