49例慢性硬膜下血肿的治疗心得体会  

Hematoma Treatment Experiences Under 49 Cases of Chronic Subdural

作　　者：成友军[1] 王志杰[1] 李燕[1] 穆林森[1] 

机构地区：[1]广州市脑科医院,广东广州510370

出　　处：《中国医药指南》2013年第34期325-326,共2页Guide of China Medicine

摘　　要：目的探讨慢性硬膜下血肿的临床治疗经验。方法回顾性分析经钻孔引流术治疗的49例慢性硬膜下血肿患者的临床资料。结果49例患者均治愈出院。术后并发症包括硬膜下积液2例,颅内血肿1例,张力性气颅2例,残留血肿1例。血肿复发5例。结论头颅CT平扫是诊断慢性硬膜下血肿的首选检查。对于有颅内压升高症状的慢性硬膜下血肿患者,均应采取手术治疗,并积极防治手术并发症。Objective To explore the clinical experience in the treatment of chronic subdural hematoma. Methods Retrospective analysis of the clinical data of borehole drainage in patients with chronic subdural hematoma in 49 cases under treatment. Results All 49 patidnts were cured and discharged. Postoperative complications included subdural effusion in 2 cases, 1 cases of intracranial hematoma, 2 cases of tension pneumocephalus, residual hematoma in 1 cases,5 cases of recurrent hematoma. Conclusion CT scan is the first choice for the diagnosis of chronic subdural hematoma. For patients with increased intracranial pressure symptoms of chronic subdural hematoma, shall take the operation treatment, and prevention of complications of operation.

关 键 词：硬膜下血肿 慢性 钻孔引流术 

分 类 号：R651.1[医药卫生—外科学]