CAJ | 학술논문

目的：探讨颅脑损伤及脑出血去骨瓣减压术后切口脑脊液漏的防治措施。方法：回顾性分析47例去骨瓣减压术后切口脑脊液漏患者的资料。结果：38例治愈，9例颅内感染（死亡1例，放弃治疗1例）。结论：去骨瓣减压术后切口脑脊液漏多为操作不当所致，术中仔细按规范操作多可避免，一经发现及时行清创缝合、加压包扎、腰穿等处理多可治愈。
목적：탐토로뇌손상급뇌출혈거골판감압술후절구뇌척액루적방치조시。방법：회고성분석47례거골판감압술후절구뇌척액루환자적자료。결과：38례치유，9례로내감염（사망1례，방기치료1례）。결론：거골판감압술후절구뇌척액루다위조작불당소치，술중자세안규범조작다가피면，일경발현급시행청창봉합、가압포찰、요천등처리다가치유。
Objective:To investigate the preventions and treatments of cerebrospinal fluid (CSF) incision leakage in patients with craniocerebral injury or hypertensive intracerebral hemorrhage after decompressive craniectomy .Methods:A retro-spective analysis of clinical data was performed for 47 cases who were diagnosed CSF incision leakage after decompressive crani-ectomy .Results:38 cases were cured ,9 cases concurrent with intracranial infection (1 case death ,1 case give up treatment ) .Con-clusion :Most of CSF incision leakage cases after decompressive craniectomy are caused by improper operation .According to the standard operation can avoid more CSF incision leakage .Once found CSF incision leakage ,gives timely debridement suture , compression bandage ,waist wear processing more treatable .