大骨瓣减压术后并发对侧硬膜下积液的非手术治疗  

Prevention and effective treatment of opposite subdural effusion after decompressive craniecm

作　　者：王虎[1] 梁恩和[1] 张昕[1] 陈荷红[1] 杨帆[1] 肖绪林[1] 王雪原[1] 

机构地区：[1]天津市环湖医院神经外科,300070

出　　处：《中华医学杂志》2014年第9期701-703,共3页National Medical Journal of China

摘　　要：目的 探讨大骨瓣减压术后对侧硬膜下积液的治疗及预防方法.方法 回顾分析天津市环湖医院2011年1月至2013年3月79例大骨瓣减压术后对侧硬膜下积液的处理方法,比较各种方法疗效.结果 78例通过术区局部弹力绷带包扎塑形,2周后复查头部CT示积液基本消失,1例弹力绷带包扎塑形及穿刺抽吸无效行积液--腹腔分流术,再次复查头部CT示积液明显减少.结论 大骨瓣减压术后硬膜下积液使用弹力绷带包扎塑形效果确切,是一种非常简单、安全、经济的方法,值得推广.Objective To explore the prevention and effective treatment of opposite subdural effusion after decompressive craniecm. Methods Retrospective analyses were conducted for 79 cases of opposite subdural effusion after decompressive craniecm. And the efficacies of various methods were compared. Results Among them, 78 cases were cured by enswathing with elastic bondage. And one case improved through cavity fluid drainage catheter. Conclusion Enswathing with elastic bondage is an effective, simple and economic method of managing opposite subdural effusion after decompressive craniecm.

关 键 词：大骨瓣减压术 硬膜下积液 颅脑损伤 非手术治疗 

分 类 号：R651.1[医药卫生—外科学]