期刊文献+

跨上矢状窦双侧硬膜外血肿的急救处理 被引量:2

EMERGENCY TREATMENT OF ACUTE BILATERAL EPIDURAL HEMATOMAS STRIDING OVER SUPERIOR SAGGITAL SINUS
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摘要 目的探讨跨上矢状窦双侧硬膜外血肿的病情变化和急救策略。方法回顾分析2005年1月~2006年12月我院收治的10例颅脑创伤及择期开颅手术后发生的跨上矢状窦双侧硬膜外血肿病例,总结分析其急救治疗体会。结果10例跨上矢状窦双侧硬膜外血肿病人通过严密观察分析病情,符合指征而手术9例;血肿较小保守治疗1例。本组病人住院7d~3个月,随访3~12个月,病人住院期间死亡1例,植物生存1例;余8例预后良好。结论跨上矢状窦双侧硬膜外血肿临床少见,病人病情恶化往往较为迅速,需及时发现并处理。 Objective To discuss the emergency treatment of acute bilateral epidural hematomas (BEHs) striding over superior sagittal sinus (SSS). Methods A retrospective analysis was done in 10 cases of EDHs striding over SSS hospitalized between January 2005 and December 2006. Results Nine patients were operated and one was treated nonsurgically. Their hospital stay was seven days to three months. The follow-up was three to 12 months. Eight patients recovered well, one became a plant man and one died. Conclusion Bilateral epidural hematomas striding over SSS are rare emergency, the patients' conditions may deteriorate rapidly which need early detection and in-time management.
出处 《齐鲁医学杂志》 2009年第2期147-148,共2页 Medical Journal of Qilu
关键词 血肿 硬膜外 颅内 神经外科手术 急救 Hematoma, epidural, cranial Neurosurgical procedures Emergency treatment
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参考文献3

  • 1RAMZAN A, WANI A, MALIK A H, et al. Acute bilateral extradural hematomas[J]. Neurol India, 2002,50(2):217-219.
  • 2GELABERT-GONZALEZ M, IGLESIAS-PAIS M, SERRAMITO-GARCIA R, et al. Simultaneous bilateral epidural hae matomas[J]. Neurocirugia, 2005,16(3):256-260.
  • 3朱锡德,费昶,朱涛.磁共振成像在颅脑创伤诊断中的应用[J].国际神经病学神经外科学杂志,2007,34(1):24-27. 被引量:10

二级参考文献18

  • 1Lescot T,Carpentier A,Galanaud D,et al.Brain MRI in the assessment of severe head trauma.Ann Fr Anesth Reanim,2005,24(5):516-521.
  • 2Parizel PM,Van Goethem JW,Ozsarlak O,et al.New developments in the neuroradiological diagnosis of craniocerebral trauma.Eur Radiol,2005,15(3):569-581.
  • 3Brown CV,Weng J,Oh D,et al.Does routine serial computed tomography of the head influence management of traumatic brain injury?A prospective evaluation.J Trauma,2004,57(5):939-943.
  • 4Hori M,Okubo T,Uozumi K,et al.T1-weighted fluid-attenuated inversion recovery at low field strength:a viable alternative for T1-weighted intracranial imaging.Am J Neuroradial,2003,24(4):648-651.
  • 5Yuan MK,Lai PH,Chen JY,et al.Detection of subarachnoid hemorrhage at acute and subacute/chronic stages:compafison of four magnetic resonance imaging pulse sequences and computed tomography,J Chin Med Assoc,2005,68(3):131-137.
  • 6Marmarou A,Signoretti S,Aygok G,et al.Traumatic brain edema in diffuse and focal injury:cellular or vasogenic?Acta Neurochir Suppl,2006,96(1):24-29.
  • 7Schaefer PW,Huisman TA,Sorensen AG,et al.Diffusionweighted MR imaging in closed head injury:high correlation with initial glasgow coma scale score and score on modified Rankin scale at discharge.Radiology,2004,233(1):58-66.
  • 8Huisman TA.Magnetic resonance imaging:an alternative to autopsy in neonatal death?Semin Neonatol,2004,9(4):347-353.
  • 9Server A,Dullerud R,Haakonsen M,et al.Post-traumatic cerebral infarction.Neuroimaging findings,etiology and oucome.Acta Radiol,2001,42(3):254-260.
  • 10Pafizel PM,Van Goethem JW,Ozsarlak O,et al.New developments in the neuroradiological diagnosis of craniocerebral trauma.Eur Radial,2005,15(3):569-581.

共引文献9

同被引文献24

  • 1包频,夏国道,惠国桢.骑跨静脉窦的硬膜外血肿(摘要)[J].中华神经外科杂志,1996,12(4). 被引量:25
  • 2朱锡德,费昶,朱涛.磁共振成像在颅脑创伤诊断中的应用[J].国际神经病学神经外科学杂志,2007,34(1):24-27. 被引量:10
  • 3刘国安,龚振林,杨庆祥,张凤龙,胡宝合,孔灵通,杨洪华.跨矢状窦巨大硬膜外血肿并发矢状窦多处破裂的手术方式[J].中国现代神经疾病杂志,2007,7(2):189-190. 被引量:5
  • 4Brevart, C, A. Bertani, H. Abdourahman Aden,et al. Severe Vertex Epidural Hematoma in a Child: A Case Report of a Management without Expert Neurosurgical Care[J]. Case Rep Surg, 2011: 4764 | 6.
  • 5Nayil, K., M. Laharwal, A. Dhar,et al. Vertex epidural hematoma with bilateral abducent nerve palsy: case report and literature review [J]. Turk Neurosurg, 2012, 22(2): 257-260.
  • 6Kiboi, J.G., I.M. Muriithi. Vertex epidural haematoma manifesting with bilateral upper limb decerebmte posture: case report[J]. East Aft" Med J, 2009, 86(6): 300-304.
  • 7Harbury, O.L., J.M. Provenzale, D.P. Barboriak. Vertex epidural hematomas: imaging findings and diagnostic pitfalls[J]. Eur J Radiol, 2000,36(3): 150-157.
  • 8Ramesh, V.G., K. Deiveegan, V. Soundappan. Vertex extradural hematoma in association with Paget's disease of the skull [J]. Neurol India, 2005, 53(1): 115-116.
  • 9Jones, T.L., M. Crocker, A.J. Martin. A surgical strategy for vertex epidural haematoma [J]. Acta Neurochir (Wien), 2011, 153 (9): 1819-1820.
  • 10Server, A., G. Tollesson, T. Solgaard, et al. Vertex epidural hematoma- neuroradiological findings and management[J]. Acta Radiol, 2002,43 (5): 483-485.

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