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去骨瓣减压术后脑积水42例诊治体会 被引量:3

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摘要 目的探讨去骨瓣减压术后脑积水的诊断和治疗。方法回顾性研究101例去骨瓣减压术后患者的临床资料,并发脑积水的42例,其中22例患者行保守治疗,20例患者行脑室腹腔分流手术的治疗。结果22例保守治疗患者3例意识障碍有轻度改善,20例患者行脑室腹腔手术治疗,12例有明显改善。结论行去骨瓣减压时应尽量恢复脑膜的解剖完整性,减少渗血进入脑池和脑室系统,减少脑积水的发生。应严格掌握手术适应证。分流管脑室端的选择上应考虑穿刺后脑室端位置适当恒定,以减少术后阻塞。
出处 《福建医药杂志》 CAS 2006年第5期81-82,共2页 Fujian Medical Journal
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