损伤控制理念在外伤性纵裂血肿治疗中的应用  

Application of damage control surgery in traumatic interhemispheric subdural hematoma

作　　者：李帆[1] 李建红[1] 王伟[1] 王彦宏[1] 王向东[1] 赵志强[1] 邵双伟[1] 任新亮[1] 

机构地区：[1]长治医学院附属和济医院神经外科, 山西长治046011

出　　处：《中国医师进修杂志》2013年第32期20-22,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨损伤控制外科（DCS）理念在外伤性纵裂血肿（TISH）治疗中的应用.方法 回顾性分析采用DCS理念救治的10例TISH患者的临床资料,总结应用DCS理念救治TISH的适应证、并发症.结果 10例患者中2例行保守治疗,4例行开颅手术,4例行钻孔引流术.按格拉斯哥预后量表评分法,9例恢复良好,1例轻度残疾.结论 应用DCS理念,选择恰当的手术方式,结合后期的一体化治疗不失为比较安全、稳妥的救治方法,可有效地降低TISH的病死率和并发症发生率.Objective To discuss the application of damage control surgery （DCS） in thetreatment of traumatic interhemispheric subdural hematoma （TISH）.Methods The clinical data of 10 TISH patients who were treated with DCS were reviewed retrospectively.To summarize the concept and complications of DCS in treatment of TISH.Results All of 10 patients,2 underwent conservative treatment,4 underwent surgical operation,4 routine borehole drainage.According to Glasgow outcome score method,9 cases recovered well,1 case had mild disability.Conclusions Application of damage control surgery,chosing the right operation method,combining with the integration in the late treatment is safe,reliable method of treatment,can effectively reduce the mortality and complication rates of TISH.

关 键 词：颅脑损伤 血肿 硬膜下 损伤控制外科 

分 类 号：R641[医药卫生—外科学]