摘要
目的:探讨外伤性骑跨横窦硬膜外血肿的诊断、手术时机及方法和预后。方法:回顾分析25例骑跨横窦硬膜外血肿损伤机制、临床特点、诊断要点及手术方法。结果:23例病人采用手术治疗,2例采用非手术疗法,17例痊愈,4例遗留不同程度的神经功能障碍,4例死亡。结论:早作头颅CT扫描、早诊断、早手术,术中充分减压、止血、避免横窦二次受压和注意对冲性损伤,是提高外伤性骑跨横窦硬膜外血肿疗效的关键。
Objective：To discuss the diagnosis,operational opportunity,operational method and prognosis of traumatic epidural hematoma straddling the transverse sinus.Methods：25 cases of epidural hematoma straddling the transverse sinus were retrospectively analyzed,including the mechanism of injury,clinical characteristics,main point of diagnosis and operational method.Results：23 cases underwent surgical operation and 2 cases used non-surgical treatment.17 cases were cured,4 cases left varying degrees of nerve dysfunction,4 case died.Conclusion：To improve the efficacy of traumatic epidural hematoma straddling the transverse sinus,the key points are head CT scan as early as possible,early diagnosis and surgery,full decompression in surgery,hemostasis,avoiding the transverse sinus from secondary compression and the hedge brain injury.
出处
《泸州医学院学报》
2011年第1期62-64,共3页
Journal of Luzhou Medical College
关键词
骑跨
横窦
硬模外血肿
治疗
Straddling
Transverse
Sinus epidural
Hematoma treatment
