摘要
收集89例慢性硬脑膜下血肿,经钻颅置管持续引流术后有6例并发急性颅内血肿,其中硬膜外血肿4例,脑内血肿2例。其主要临床表现:再发急性颅内压增高,意识障碍,肢体瘫痪加重及癫痫发作等。经及时诊治后无1例死亡。本文就慢性硬脑膜下血肿引流术后并发颅内血肿部位、形成机理及早期诊治进行讨论。
This paper reports 6 cases of acute intracranial hematoma complicated by drainage cranioto- my of 89 cases of chronic subdural hematoma.The cardinal clinical symptoms and signs were and these acute intracranial hypertension,extremity paralysis,consciousness obstruction,epilepsy and so on.None died though they received an emeragency opreation.The study discusses the po- sition,mechanisms,primary diagnosis and treatment of the acute intracranial hematomas.
