CAJ | 학술논문

目的总结185例颅脑外伤后脑脊液漏的诊断治疗方法,探讨脑脊液漏产生机制与诊断治疗的关系。方法与结果185例颅脑外伤后脑脊液漏患者,其中160例经严格卧床休息、对症治疗一周愈合；13例患者脑脊液漏超过10天,经腰大池引流7-14天愈合；12例患者经保守治疗无效,脑脊液漏超过1个月,颅内感染反复发作,行开颅手术10例,经鼻蝶手术修补2例,治愈10例,2例无效。结论脑脊液漏绝大多数可保守治疗治愈,脑脊液漏超过一个月,反复发作颅内感染者应尽早手术。
목적총결185례로뇌외상후뇌척액루적진단치료방법,탐토뇌척액루산생궤제여진단치료적관계。방법여결과185례로뇌외상후뇌척액루환자,기중160례경엄격와상휴식、대증치료일주유합；13례환자뇌척액루초과10천,경요대지인류7-14천유합；12례환자경보수치료무효,뇌척액루초과1개월,로내감염반복발작,행개로수술10례,경비접수술수보2례,치유10례,2례무효。결론뇌척액루절대다수가보수치료치유,뇌척액루초과일개월,반복발작로내감염자응진조수술。
Objective Summary of 185 cases of methods of diagnosis and treatment of cerebrospinal fluid leakage after craniocerebral trauma, exploring the relation between mechanism and diagnosis and treatment of cerebrospinal fluid leakage. Method and Results 185 cases brain trauma Hou cerebrospinal fluid leak patients, which 160 cases by strictly bed rest, and symptomatic treatment a week healing; 13 cases patients cerebrospinal fluid leak over 10 days, by lumbar large pool drainage 7-14 days healing; 12 cases patients by conservative treatment invalid, cerebrospinal fluid leak over 1 months, cranial within infection repeatedly attack, line craniotomy surgery 10 cases, by nasal Butterfly surgery patch 2 cases, cure 10 cases, 2 cases invalid. Conclusion Conservative treatment of cerebrospinal fluid leakage in the vast majority of cure, and cerebrospinal fluid leakage in more than a month, living with recurrent intracranial should operative as soon as possible.