CAJ | 학술논문

目的：分析CSDH（慢性硬膜下血肿）行钻孔引流术治疗的术后并发症及防治措施。方法：选取2008年9月-2013年9月收治的CSDH患者150例，分析临床治疗情况，以及并发症发生情况和防治措施。结果：术后总治愈率为98.7%；共出现血肿复发、颅内积气、颅内感染、脑脊液漏、癫痫、继发颅内血肿以及心衰等7种并发症；血肿复发发生率相对最高，颅内感染的发生率相对最低（P<0.05）。结论：CSDH在行钻孔引流术治疗时，应及早采取合理措施积极防治并发症，以保证手术效果。
목적：분석CSDH（만성경막하혈종）행찬공인류술치료적술후병발증급방치조시。방법：선취2008년9월-2013년9월수치적CSDH환자150례，분석림상치료정황，이급병발증발생정황화방치조시。결과：술후총치유솔위98.7%；공출현혈종복발、로내적기、로내감염、뇌척액루、전간、계발로내혈종이급심쇠등7충병발증；혈종복발발생솔상대최고，로내감염적발생솔상대최저（P<0.05）。결론：CSDH재행찬공인류술치료시，응급조채취합리조시적겁방치병발증，이보증수술효과。
Objective:To analyze the prevention and therapy about postoperative complications of chronic subdural hematoma drilling drainage. Method:150 patients with CSDH were selected from September 2008 to September 2013,then analyzed the situation of the clinical treatment, complications,the prevention and therapy measures. Result:The postoperative total cure rate was 98.7%;and there had 7 kinds of complication such as hematoma,intracranial pneumatosis,intracranial infection,cerebrospinal fluid leakage,epilepsy,secondary intracranial hematoma and heart failure;the incidence of recurrent hematoma was relatively high,the incidence of intracranial infection was relatively low(P<0.05). Conclusion:The treatment with CSDH in drilling drainage should take reasonable measures early to prevent complications,so as to ensure the operation effect.