摘要
目的：探讨外伤笥脑外积液手术治疗的指征及术式选择。方法：总结采用不同方法手术治疗的２７例患者临床症状与体主ＭＲＩ等影像学特征、积液蛋白含量测定等临床资料结果：行枳液一腹发流术１６例，钻孔外引流６例，囟门穿刺闭式外引流３例，囟门穿刺抽液２例。痊愈２５例，放序治疗２例。结论：手术指征主要取决于积液量及病人的临床症状与体征，方法则取决于质（积液的成分）、蛋白含量高或混有血液者，行外引流或经囟门抽吸。
Objective:To detect the operation indication and methods of traumatic cerebral external fluid accumulative (TCEFA).Methods:The clinical characters,feature of CT scan and MRI and to determine the protein contain of fluid were analysis,according to the 27 cases and uses different operation to cure.Results:Operation respectively with fluid-peritoneal cavity shunts 16 cases,bores hole drainage 6 cases,fontanel drainage 3 and puncture in 4.Twenty-five cases gets recover entirely and 2 cases abandon cure.Conclusion:The operation of indication dependent on the clinical disease that quantity accumulating liquid and patient's signs and symptoms,but the method is decided by nature (composition of accumulating liquid).And that the protein content is high or gets along with blood,and Drainage outside the line or aspirates through the fontanel;opposite,fluid-peritoneal cavity shunt should done.
出处
《医师进修杂志》
2000年第7期23-24,共2页
Journal of Postgraduates of Medicine
关键词
外伤性脑外积液
外科手术
手术治疗
traumatic
cerebral external fluid accumulative
operation
