摘要
目的 探讨采用钻孔引流治疗硬膜外血肿的手术适应证及临床疗效。方法 对32例中的15例患者经钻孔抽吸大部分血肿后置管引流。另17例需经引流管注入尿激酶溶解血肿后引流。结果 全组患者术后临床症状好转，无任何并发症。CT扫描示硬膜外血肿消失或基本消失而于术后8～14天痊愈出院。结论 与传统开颅手术相比，钻子L引流治疗硬膜外血肿是一种简便、微侵袭、安全有效的治疗方法。
Objective To explore the surgical indication and effectiveness for treatment of extradural hematoma with a drill hole and drainage. Methods Among 32 cases with traumatic extradural hematoma,15 cases were treated through a drill hole to aspirate greater part of hematoma. 17 cases were treated to dissolve and drain hematoma by catheteration and injection of urokinase. Results After operation, all patients＇ symptoms showed of a turn to better and there were no any treatment-related complications. CT scan showed that the hematomas were cleared or almost cleared. They were cured anti dischaged after operation 8 - 14 days. Conclusion Compared with traditional eraniotomy, hematoma drainage through a drill hole is a kind of more simple, minimally invasive,effective and safe method for the treatment of extradural hematoma.
出处
《东南国防医药》
2006年第6期421-422,共2页
Military Medical Journal of Southeast China
关键词
硬膜外血肿
钻孔引流
Extradural hematoma
Drilling and drainage
