外伤性硬膜下积液121例临床分析  

Clinical analysis of 121 cases of traumatic subdural effusion

作　　者：陈亿民[1] 林宜生[1] 薛洽生 辜汇丰 

机构地区：[1]广东汕头市第二人民医院神经外科,汕头515011

出　　处：《中国实用神经疾病杂志》2014年第16期39-40,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨外伤性硬膜下积液的治疗方法。方法选择外伤性硬膜下积液患者121例,其中保守治疗90例,手术治疗43例,其中单侧钻孔引流32例,双侧钻孔引流11例,单侧硬膜下腔—腹腔分流1例。结果保守治疗90例中57例积液消失,21例积液减少;6例积液增加,其中2例积液无明显变化,4例伤后1～2个月形成慢性硬膜下血肿,以上12例改行钻孔引流术,术后治愈。入院后即手术治疗31例中30例一次治愈,1例术后复发,改行硬膜下腔-腹腔分流后治愈。结论多数轻症TSH患者经保守治疗好转或治愈;保守治疗效果不佳者采用钻孔外引流术治疗效果较佳。Objective To analyze the treatment method of the traumatic subdural effusion patients.Methods 121 traumatic subdural effusion cases were chosen,43 cases surgical treatment,32 cases unilateral,11 cases double side hole drainage,1case unilateral subdural-peritoneal shunt.Results 90 patients were treated with expectant treatment after hospital treatment,57 cases of effusion disappeared,21patients＇ effusion reduced;6cases of effusion increased,2cases of effusion have no obvious change,and 4cases develop into chronic subdural hematoma after 1-2month.The 12 patients have been changed into drilling drainage treatment,and they were cured.31 patients were taken operation treatment,and 30 cases were cured,1cases of recurrence.The patients were cured by subdural-peritoneal shunt.Conclusion Most TSH patients treated with conservative treatment are cured and become better.For the patients who haven＇t become better after the conservative treatment,it will be better if adopt drilling drainage treatment.

关 键 词：外伤性硬膜下积液 保守治疗 钻孔引流术 

分 类 号：R651.15[医药卫生—外科学]