慢性硬膜下血肿钻颅术并发症的临床研究  

Clinical Study on Complications of Chronic Subdural Hematoma Drilling

作　　者：宗海亮[1] 许洪升[1] 何晓光[1] 尚明[1] ZONG Hailiang;XU Hongsheng;HE Xiaoguang;SHANG Ming(Department of Neurosurgery,Xuzhou Central Hospital,Xuzhou Jiangsu 221009,China)

机构地区：[1]徐州市中心医院神经外科,江苏徐州221009

出　　处：《中国继续医学教育》2021年第7期150-153,共4页China Continuing Medical Education

摘　　要：目的对慢性硬膜下血肿患者行钻颅术后并发症情况进行研究。方法选择2016年12月—2019年12月来本院神经外科治疗慢性硬膜下血肿患者中的50例患者作为研究对象,并对上述患者钻孔引流术的治疗效果及并发症发生情况进行观察和分析。结果通过研究发现,在实施钻孔引流手术后患者治愈率为98%,并发症发生率为42%。结论颅骨钻孔引流术是慢性硬膜下血肿临床治疗的主要方式,并且对患者脑部组织造成的损伤较小,治愈率高,尽管如此仍旧会发生各种术后并发症,因此在手术应一定要规范操作,加强术后护理工作,并时刻观察患者症状及体征变化,一旦发生并发症及时采取相应的处理措施。Objective To study the complications of postoperative operation in chronic subdural hematoma.Methods From December 2016 to December 2019,50 patients who came to our hospital for neurosurgery treatment of chronic subdural hematoma were selected as the research objects,observed and analyzed the therapeutic effect and complications of drilling drainage in the above patients.Results The results showed that the cure rate was 98%and the complication rate was 42%.Conclusion Cranial drilling and drainage is the main method of clinical treatment of chronic subdural hematoma,and it causes less damage to the brain tissue of the patient,and the cure rate is high.Even so,various postoperative complications may still occur,so it is necessary to standardize operations,strengthen postoperative care,and always observe the changes in patients’symptoms and signs,and take appropriate measures in time if complications occur.

关 键 词：慢性硬膜下血肿 钻孔引流术 血肿复发 颅内积水 硬膜下积液 其他并发症 术后护理 

分 类 号：R741[医药卫生—神经病学与精神病学]