去骨瓣减压术后切口脑脊液漏的防治  

Preventions and treatments of cerebrospinal fluid incision leakage after decompressive craniectomy

作　　者：方永军[1] 杨国材[2] 张毅[1] 范小璇[1] 周锋[1] 周雄波[1] 侯文[1] 

机构地区：[1]陕西中医学院附属医院,咸阳712000 [2]内蒙古自治区巴彦淖尔市乌拉特前旗人民医院胸脑外科

出　　处：《陕西医学杂志》2013年第10期1342-1343,共2页Shaanxi Medical Journal

摘　　要：目的:探讨颅脑损伤及脑出血去骨瓣减压术后切口脑脊液漏的防治措施。方法:回顾性分析47例去骨瓣减压术后切口脑脊液漏患者的资料。结果:38例治愈,9例颅内感染(死亡1例,放弃治疗1例)。结论:去骨瓣减压术后切口脑脊液漏多为操作不当所致,术中仔细按规范操作多可避免,一经发现及时行清创缝合、加压包扎、腰穿等处理多可治愈。Obiective：To investigate the preventions and treatments of cerebrospinal fluid（CSF） incision leakage in patients with craniocerebral injury or hypertensive intracerebral hemorrhage after decompressive craniectomy. Methods..A retro- spective analysis of clinical data was performed for 47 cases who were diagnosed CSF incision leakage after decompressive crani- ectomy. Results：38 cases were cured,9 cases concurrent with intracranial infection（1 case death, 1 case give up treatment）. Con clusion：Most of CSF incision leakage cases after decompressive craniectomy are caused by improper operation. According to the standard operation can avoid more CSF incision leakage. Once found CSF incision leakage , gives timely debridement suture, compression bandage, waist wear processing more treatable.

关 键 词：颅脑损伤 脑出血 脑脊髓液 减压颅骨切除术 

分 类 号：R651.15[医药卫生—外科学]