颅内血肿术后再发血肿救治分析  

Recurrent intracranial hematoma following operation

作　　者：张建忠[1] 龙连圣[1] 王伟明[1] 韩瑞璋[1] 辛志成[1] 于烽[1] 赵保[1] 

机构地区：[1]解放军第98医院脑外科,浙江湖州313000

出　　处：《中华神经医学杂志》2003年第5期378-379,共2页Chinese Journal of Neuromedicine

摘　　要：目的 探讨颅血肿清除术后颅内再发血肿的原因,从而针对性的制定预防措施,减少术后再发血肿发生率。方法总结19例颅内血肿术后再发颅内血肿病例,分析术后再发血肿相关因素。结果 术中处理是否得当、原发损伤程度、术后并发症的严重程度及病人基础状况与术后再发血肿有相关性。结论 术中术后采取综合有效的措施,能有效减少术后再发血肿,术后严密临床观察及时CT复查、及时诊断、迅速清除血肿是救治成功的关键。Objective To explore the recurrence of intracranial hematoma following the surgical treatment and to prevent and reduce it. Methods The data of 19 patients with intracranial hematoma following surgical treatment were analyzed to find the factors related to recurrence. Results The recurrences were related to incorrect surgical treatment, severity of the primary cerebral damage and the medical complications as well as patients conditions. Conclusion The effective measures in operation and after operation may reduce recurrent rate. Postoperative close observation, CT scan, timely diagnosis and prompt clearing all of hematoma are keys to a successful treatment.

关 键 词：颅内血肿 术后 再发血肿 救治 血肿清除术 脑外伤 

分 类 号：R651.15[医药卫生—外科学]