42例急性硬脑膜外血肿合并静脉窦损伤的手术治疗体会  

Experience of surgical treatment of 42 cases with acute epidural hematoma combined with venous sinus injury

作　　者：汤汉心 林喜容 陈锦镜 

机构地区：[1]广东省汕头市潮阳区大峰医院神经外科,广东汕头515154

出　　处：《中国医学工程》2017年第3期74-77,共4页China Medical Engineering

摘　　要：目的探讨急性硬膜外血肿合并静脉窦损伤的手术方法及治疗体会。方法对该院收治的急性硬膜外血肿合并静脉窦损伤的42例患者临床特点及手术治疗体会进行回顾性分析。结果 42例患者存活39例(92.86%),因形成脑疝死亡3例(7.14%);根据格拉斯哥预后分级(GOS)进行预后评定:恢复良好(V级)22例(52.38%),中残(IV级)13例(30.95%),重残(III级)4例(9.52%)。结论急性硬脑膜外血肿合并静脉窦损伤属于一种危急重症,在手术上有较大的难度,需选择正确的治疗方案和手术方法,且有娴熟的手术技巧,才能提高手术成功率。[Objective]To investigate the surgical methods and experience in the treatment of acute epidural hematoma combined with venous sinus injury.[Methods]The clinical features and surgical treatment of 42 cases of acute epidural hematoma combined with venous sinus injury in our hospital were retrospectively analyzed.[Results]Thirty-nine patients survived in 42cases（92.86%）,and 3 cases died（7.14%） due to the formation of cerebral hernia;prognosis was assessed according to Glasgow Outcome Scale（GOS）：good recovery（V class） in 22 cases（52.38%）,middle disability（IV class） in 13 cases（30.95%）,heavy disability（III class） in 4 cases（9.52%）.[Conclusion]Acute epidural hematoma combined with venous sinus injury is a critical and severe disease with great difficulty in the operation,correct treatment and surgical procedures should be selected,and skilled surgical skills is needed,in order to improve the success rate of surgery.

关 键 词：急性硬脑膜外血肿 静脉窦损伤 手术治疗 体会 

分 类 号：R651.15[医药卫生—外科学]