外伤性上矢状窦损伤的救治  

Treatment of traumatic superior sagittal sinus injury

作　　者：魏林平 余冬平 杨志雄 谢志向 

机构地区：[1]龙川县人民医院,517300

出　　处：《中国实用医药》2015年第11期40-41,共2页China Practical Medicine

摘　　要：目的探讨外伤性上矢状窦损伤的处理方法 ,以提高患者的生存率及预后。方法回顾性分析12例外伤性上矢状窦损伤患者的救治经过。保守治疗1例,矢状窦结扎1例,明胶海绵或肌肉片压迫悬吊7例,血管重建3例。观察治疗效果。结果治疗后随访3个月,按格拉斯哥预后评分(GOS)评估预后:良好6例,轻残2例,重残1例,植物生存状态1例,死亡2例。结论做好对外伤性上矢状窦损伤的充分认识,对不同部位、损伤类型的上矢状窦损伤采取相应处理措施,均能取得满意效果。Objective To investigate treatment method of traumatic superior sagittal sinus injury, in order to improve survival rate and prognosis of patients. Methods A retrospective analysis was made on the treatment process of 12 traumatic superior sagittal sinus injury patients. There were 1 case of conservative treatment, 1 case of sagittal sinus ligation, 7 cases of oppression suspension of gelatin sponge or muscle piece, and 3 cases of vascular remodeling. Curative effects were observed. Results Follow-up lasted for 3 months after treatment. According to Glasgow outcome scale （GOS） evaluation of prognosis, there were 6 good cases, 2 cases of mild disability, 1 cases of severe disability, 1 case of persistent vegetative state, and 2 death cases. Conclusion Fully understanding of traumatic superior sagittal sinus injury, and targeted treatment for different position and type of injury can provide satisfactory effect.

关 键 词：颅脑外伤 上矢状窦损伤 外科治疗 

分 类 号：R651.15[医药卫生—外科学]