摘要
目的 探讨外伤性硬膜外血肿的微侵袭治疗及其适应证。方法 采用CT引导下头颅体表定位 ,并根据病情及血肿量大小 ,分别采用颅骨锥孔、钻孔、小环形颅锯开颅加尿激酶灌注引流治疗硬膜外血肿 12 5例 ,其中急性 80例 ,亚急性 31例 ,慢性 14例 ,血肿量 15～ 90ml,术后颅脑CT动态观察 ,按GCS评分判断预后。结果 5天内血肿完全消失 98例 (78 4 % ) ,减少 90 %以上 2 0例 (15 1% ) ,80 %～ 90 % 7例 (5 6 % )。所有患者均恢复良好 ,未发生再出血或因病情加重开颅手术现象。结论 对于生命体征平稳的硬膜外血肿患者 ,根据其病情及血肿量大小 ,分别采用颅骨锥孔、钻孔、小环形颅锯开颅等微侵袭手段治疗 ,是安全、可行、有效的。
Objective To explore the minimally invasive treatment and indications of minimally invasive neurosurgery in the patients with traumatic extradural hematoma.Methods According to their clinical symtom and extradural hematoma volume,125 patients with traumatic extradural hematoma in whom the hematoma volume is between 15～90 milliliters,including 80 cases acute hematoma,31 cases second-acute and 14 cases chronic,were treated respectively by pricking finestra,drilling hole or small skull fenestral craniotomy,and infusion of urokinase.The effects of treatment were observed.Result Extradural hematoma,within five days,were completely disappared in 98 patients(78.4%),>90% decreased in 20 patients(15.1%) and 80%～90% decreased in seven patients(5.6%).All of the 125 cases were completely cured and no rehemahorrage were found.Conclusion Minimally invasive treatment is a relatively easy,safe and effective method of treatment for the patients with traumatic extradural hematoma whose vital signs are relatively stabale.
出处
《福建医药杂志》
CAS
2004年第6期52-54,共3页
Fujian Medical Journal
