摘要
目的研究慢性硬膜下血肿的治疗及预后。方法对我院2009-10～2011-07 37例慢性硬膜下血肿行单孔钻孔引流术,对手术病人及病历进行回顾性分析。结果 37例病例中,36例痊愈出院。3例遗留少量硬膜下积液,5例颅内积气,均未特殊处理,门诊随访6～11个月后自愈。4例因血肿包膜机化严重,术后效果不佳二次开瓣手术,1例术后并发重症肺炎转入ICU后死亡。结论慢性硬膜下血肿虽然手术打击不重,但因病人年龄问题易出现并发症,应注意术前综合评估及术后护理。
Objective To investigate the treatment and prognosis in the treatment of chronic subdural hematoma.Methods A retrospective analysis of complications in 37 patients after a bur hole was made in the second affiliated hospital of Zhengzhou university from October 2009 to July 2011.Results Total 37 patients,36 cases had no complications,3 cases had small subdural effusion,5 cases had pneumocephalus.All these complications weren＇t given medical treatment and disappeared after 6～11 months.Four patients received craniotomy because of the calcified hematoma capsule.One patient died of severe pneumonia after operation.Conclusion Although drainage hole is minor and simple operation,some complications still occur in the old patients.So we should give careful planning of pre-and after-operative.
出处
《中国实用神经疾病杂志》
2011年第22期16-17,共2页
Chinese Journal of Practical Nervous Diseases
关键词
慢性硬膜下血肿
钻孔引流
并发症
Chronic subdural hematoma
Drainage hole
Complications
