摘要
目的 分析薄层硬膜下血肿伴脑肿胀的手术预后。方法 将我科自 1993年 4月～ 2 0 0 0年 4月收治并经CT证实的 86例薄层硬膜下血肿伴脑肿胀患者的临床表现和CT扫描与手术预后的关系进行分析。结果 86例患者均行开颅、血肿清出、大骨瓣减压手术。术后死亡 5 4例 ,死亡率 62 .8% ,结论 薄层硬膜下血肿伴脑肿胀 ,单一清除血肿不是手术主要目的 ,必须做广泛减压 ,如果年龄超过 60岁 ,深昏迷 ,脑疝进入中晚期 ,特别是CT扫描显示基底池、第三脑室或脑干周围池消失 ,中线移位大于 1cm者 。
Objective The prognosis of the subdural thin hematoma companied with cerebral hemispheric swelling was analyzed.Methods The relationship of the presentation of subdural thin hemotoma companied with cerebral hemispheric swelling,CT scan and operational prognosis was studied in 86 cases,from Apr.1993 to Apr.2000.Results 86 cases were performed with hematoma removing and decompression with removing bone petal,but Post-operational mortality rate was 62.8%(54cases).Conclusions The hematoma was not reliable the operation indication in subdural thin hematoma companied with the cerebral hemispheric swelling.If the patient was with deep coma and cerebral hemiation forming,especially the disappearing of the basic cistem,Ⅲ ventricle and circular cistern,the operation shoud be careful.
出处
《海南医学》
CAS
2004年第3期9-10,共2页
Hainan Medical Journal
