国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
1期
35-37
,共3页
罗武锋%郑烈辉%洪映标%陈曼华%许佩榆%刘俊波
囉武鋒%鄭烈輝%洪映標%陳曼華%許珮榆%劉俊波
라무봉%정렬휘%홍영표%진만화%허패유%류준파
慢性硬膜下血肿%脑疝%微创手术
慢性硬膜下血腫%腦疝%微創手術
만성경막하혈종%뇌산%미창수술
Chronic subdural hematoma%Cerebral hernia%Minimally invasive surgery
目的 探讨慢性硬膜下血肿并脑疝的微创手术的治疗效果.方法 对54例慢性硬膜下血肿合并脑疝患者行钻孔外引流术,术后经引流管行闭式引流并应用等渗液体促进脑膨胀.结果 48例术后2h～7d内清醒,瘫痪肢体肌力恢复良好46例,7例恢复稍差,4例复发(7.4％),1例死亡(1.85％).结论 钻孔引流术治疗慢性硬膜下血肿并脑疝,术后神经功能恢复明显,疗效满意.
目的 探討慢性硬膜下血腫併腦疝的微創手術的治療效果.方法 對54例慢性硬膜下血腫閤併腦疝患者行鑽孔外引流術,術後經引流管行閉式引流併應用等滲液體促進腦膨脹.結果 48例術後2h～7d內清醒,癱瘓肢體肌力恢複良好46例,7例恢複稍差,4例複髮(7.4％),1例死亡(1.85％).結論 鑽孔引流術治療慢性硬膜下血腫併腦疝,術後神經功能恢複明顯,療效滿意.
목적 탐토만성경막하혈종병뇌산적미창수술적치료효과.방법 대54례만성경막하혈종합병뇌산환자행찬공외인류술,술후경인류관행폐식인류병응용등삼액체촉진뇌팽창.결과 48례술후2h～7d내청성,탄탄지체기력회복량호46례,7례회복초차,4례복발(7.4％),1례사망(1.85％).결론 찬공인류술치료만성경막하혈종병뇌산,술후신경공능회복명현,료효만의.
Objective To explore the curative effect of treating chronic subdural hematoma complicated with cerebral hernia with minimally invasive surgery.Method Treated 54 patients with chronic subdural hematoma complicated with cerebral hernia with drilling external drainage.After the operation,all patient were closely drained and their brain expansions were promoted with isotonic solution.Result After the operation,48 cases were awake in 2 h-7 d; 46 patients' paralyzed body strength recovered well,7 cases' recovered a little more poorly; 4 patients recurred( 7.4％ ); 1 case died ( 1.85％ ).Conclusion Treating patients with chronic subdural hematoma complicated with cerebral hernia with drilling external drainage has obvious postoperative neurological function recovery and satisfied results.
