CAJ | 학술논문

目的探讨稳定型硬脑膜下血肿的有效治疗方法.方法对行钻孔引流治疗的68例稳定型硬脑膜下血肿患者的临床资料进行回顾性分析.结果术后第2天68例患者症状均改善,复查头部CT,42例血肿清除约80％,其中26例血肿清除约60％；余下血肿予以尿激酶注入法,拔管前复查头部CT,59例血肿清除80％以上,9例血肿清除60％以上,中线系统和脑室系统均恢复正常,意识状况和症状均明显改善,预后良好.结论钻孔引流术操作简单,并发症少；只要选择合适的患者,规范化的术中操作和术后管理,对于治疗符合手术指征的稳定型硬脑膜下血肿是可行的.
목적 탐토은정형경뇌막하혈종적유효치료방법.방법 대행찬공인류치료적68례은정형경뇌막하혈종환자적림상자료진행회고성분석.결과 술후제2천68례환자증상균개선,복사두부CT,42례혈종청제약80％,기중26례혈종청제약60％；여하혈종여이뇨격매주입법,발관전복사두부CT,59례혈종청제80％이상,9례혈종청제60％이상,중선계통화뇌실계통균회복정상,의식상황화증상균명현개선,예후량호.결론 찬공인류술조작간단,병발증소；지요선택합괄적환자,규범화적술중조작화술후관리,대우치료부합수술지정적은정형경뇌막하혈종시가행적.
Objective Investigate the effective treatment for the stable subdural hematoma.Methods About the patients need for surgical treatment,for the treatment of hole drainage surgery,and according to the retrospective to be analyzed.Results The 68 cases of patients with surgical indications,under local anesthesia to surgery with the method of hole drainage surgery,achieve the desired results and objectives.Conclusions The hole drainage surgery is a simple way,and little chance of complications.As long as select the appropriate cases,during the surgery with standardized operation and at the end of surgery use standardized management,select the method of hole drainage surgery to treat the stable subdural hematoma is feasibility.