颅脑创伤开颅术后纵裂分离型硬膜下积液诊治分析  

Diagnosis and Treatment of separate interhemispheric subdural effusion after craniotomy in traumatic brain injury

作　　者：贡伟一[1] 王文明[1] 张曙光[1] 周金方[1] 潘天鸿[1] 

机构地区：[1]江苏大学附属昆山医院神经外科,苏州215300

出　　处：《中国实用神经疾病杂志》2014年第6期42-43,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨颅脑创伤开颅术后纵裂分离型硬膜下积液产生的原因、诊断和治疗。方法对18例颅脑创伤开颅术后发生纵裂分离型硬膜下积液的患者进行回顾性分析。结果纵裂分离型硬膜下积液患者通过高压氧、锥颅外引流术、Ommaya囊或腰大池置管引流、积液-腹腔分流术等治疗能取得满意疗效。结论纵裂分离型硬膜下积液属于硬膜下积液的一种特殊类型。利用影像学手段能明确对其作出诊断,通过一系列治疗能取得良好的治疗效果。Objective To explore the etiology ,diagnosis and treatment of separate interhemispheric subdural effusion after craniotomy in traumatic brain injury. Methods 18 cases of patients with separate interhemispheric subdural effusion after cra-niotomy were retrospectively studied. Results separate interhemispheric subdural effusion were cured by high-pressure oxy-gen ,cone extracranial drainage ,Ommaya sac or lumbar catheter drainage ,fluid-peritoneal shunt and other treatments. Con-clusion separate interhemispheric subdural effusion is one special type of subdural effusion.It can be diagnosed conveniently by the means of imaging ,and can be effectively cured by a series of treatment.

关 键 词：纵裂分离型硬膜下积液 大骨瓣减压术 颅脑创伤 并发症 

分 类 号：R651.15[医药卫生—外科学]