颅内血肿穿刺针治疗外伤性急性硬膜外血肿的疗效分析  

作　　者：蔡程 邱乃锡 刘俊辉 柯胜蓝 黄守标 

机构地区：[1]海丰县彭湃纪念医院颅脑科,广东516400

出　　处：《当代医学》2014年第17期8-9,共2页Contemporary Medicine

摘　　要：目的观察并分析外伤性急性硬膜外血肿患者应用颅内血肿穿刺针进行穿刺清除治疗的临床效果。方法外伤性急性硬膜外血肿患者96例随机均分为参照组与观察组(n=48),参照组接受常规临床术式治疗;观察组接受颅内血肿穿刺针穿刺清除术治疗。观察并比较2组的疗效。结果参照组总有效率为58.8%,而观察组总有效为91.7%,组间差异具有统计学意义(P<0.05)。且观察组患者术中输血量更少、症状改善时间更早、疗程更短,术后并发症发生几率更低,差异均有统计学意义(P<0.05)。结论采用颅内血肿穿刺针对外伤性急性硬膜外血肿患者进行穿刺清除治疗具有显著的临床疗效,能够较好地控制术中出血以及术后并发症,且症状改善较快、疗程更短,减少了患者家庭经济负担,值得临床推广应用。Objective To observe and analyze the clinical effects that intracranial hematoma puncture needle was used in treatment of acute traumatic intracranial hematoma. Methods 96 cases with acute epidural hematoma were divided into observation group and control group （n=48）. The control group received conventional surgical treatment; the observation group was accepted intracranial hematoma puncture needle removal treatment. The effects were observed and statistically analyzed. Results The total effective rate of control group was 58.8%, while the total effective rate of observation group was 91.7%, there was statistically significant （P〈0.05）. Compared with the control group, the observation group had lower intraoperative blood transfusion, symptoms earlier and shorter course of treatment, lower risk of postoperative complications （P〈0.05）. Conclusion It has significant clinical efficacy, better able to control the bleeding and postoperative complications that traumatic intracranial hematoma puncture used for patients with acute epidural hematoma. The symptoms was improved rapidly, a shorter course of treatment to reduce the economic burden of the patient＇s family. It is worthy of clinical application.

关 键 词：外伤性急性硬膜外血 颅内血肿穿刺针 

分 类 号：R651.15[医药卫生—外科学]