摘要
报告慢性硬膜下血肿的诊断和治疗76例经验。CT应用前双侧血肿为16％,应用后为19.6％。目前最可靠的诊断方法是脑血管造影和CT扫描,本组CT扫描47例,其中等密度血肿8例做脑血管造影协助诊断。脑血管造影33例。血肿外膜切除11例,钻孔引流64例。应用负压袋引流51例。切除血肿包膜,并发症多并有死亡率,钻孔引流风险小,效果好,尤其应用钻孔冲洗负压袋引流,早期症状改善显著,无并发症、无复发和死亡率。
Seventy-six cases of chronic subdural hematom a were managed in our hospital from 1965 to 1986. 11 patients were treated by surgical removal of the hematoma and its capsule, 64 patients by draniage of the accumulated blood through a burr hole. 1 patient dead.before surgical intervention, the hematoma was proved by autopsy. We prefer draining the blood by burr hole than eraniotomy because more complication and higher the mortality rate in the later group.In 51 patients of drainage group negative pressure drainde kit were used to facilitate the elimination of the residural content of the hematoma.The diagnosis and various method of surgical treatment of chronic subdural hematoma was discussed also.
出处
《中华神经外科杂志》
CSCD
北大核心
1989年第2期114-117,共4页
Chinese Journal of Neurosurgery
