颅脑损伤术中远隔血肿的诊治(附36例分析)  

Diagnosis and Treatment of Distant Hematoma in Craniocerebral Injury Operation(Analysis of 36 Cases)

作　　者：唐涛[1] 高云鹤[2] 单继东[1] 宋守智[1] 陈铎[3] 

机构地区：[1]辽宁省鞍山市长大医院神经外科,辽宁鞍山116001 [2]大连大学附属中山医院神经外科一病房,辽宁大连116001 [3]中国医科大学附属盛京医院神经外科,辽宁沈阳110004

出　　处：《中外医疗》2014年第11期83-84,共2页China & Foreign Medical Treatment

摘　　要：目的研究颅脑损伤术中出现远隔血肿的检查及处理方法。方法研究大连大学附属中山医院神经外科2008年1月—2012年12月期间,36例颅脑损伤出现术中远隔血肿患者既往病例资料。结果 36例患者,按格拉斯哥预后评分(GOS)评价预后效果:术后患者死亡4例,存活32例,出院后进行9个月的随访,其中恢复良好17例,轻度残疾10例,重度残疾5例。结论术中清除颅内占位、充分减压、降低颅内压及术后减少脑缺血、缺氧等是预防及治疗术中远隔血肿的有效方法。Objective To study the methods of detection and treatment for distant hematoma during the craniocerebral injury op-eration. Methods The clinical data of 36 cases of patients, who had distant hematoma during the craniocerebral injury operation in Department of Neurosurgery of Affiliated Zhongshan Hospital of Dalian University from January, 2008 to December, 2012 were ana-lyzed retrospectively. Results The prognostic effect of the 36 patients was evaluated by the Glasgow Outcome Score （GOS）：4 patients died after surgery, 32 cases survived. 9 months follow-up was given to the patients after they discharged from the hospital, there were 17 cases with good recovery, 10 cases with mild disability and 5 cases with severe disability. Conclusion During the craniocerebral injury operation, clearing intracranial space-occupying lesions, full decompression, reducing intracranial pressure and postoperative cerebral ischemia and hypoxia are effective measures for preventing and treating intraoperative distant hematoma.

关 键 词：颅脑损伤 术中 远隔血肿 

分 类 号：R259[医药卫生—中西医结合]