CAJ | 학술논문

目的：分析慢性硬膜下血肿行钻孔引流术后引流不畅的原因以及防治措施。方法回顾性分析2008年6月一2013年7月我院11例慢性硬膜下血肿钻孔引流后出现引流不畅病例的临床资料并进行总结。包括患者症状、CT表现、引流不畅的原因、处理的措施及愈合等。结果因纤维分隔物、纤维蛋白降解产物堵塞引起引流不畅4例；引流管“打折”、侧孔被血肿包膜包绕4例；血凝块堵塞2例；颅内压下降过快1例。本组病例无严重并发症。结论采用灌注尿激酶、调整引流管角度和深度、适当补液、调整患者头位等处理措施可以提高引流效果，改善患者预后。
목적：분석만성경막하혈종행찬공인류술후인류불창적원인이급방치조시。방법회고성분석2008년6월일2013년7월아원11례만성경막하혈종찬공인류후출현인류불창병례적림상자료병진행총결。포괄환자증상、CT표현、인류불창적원인、처리적조시급유합등。결과인섬유분격물、섬유단백강해산물도새인기인류불창4례；인류관“타절”、측공피혈종포막포요4례；혈응괴도새2례；로내압하강과쾌1례。본조병례무엄중병발증。결론채용관주뇨격매、조정인류관각도화심도、괄당보액、조정환자두위등처리조시가이제고인류효과，개선환자예후。
Objective To analysis the causes of inadequate drainage of chronic subdural hematoma ( CSDH) after drilling and propose treatment measures .Methods The clinical data of 11 patients with CSDH occurred poor drainage after drilling were analyzed retrospectively .Its clinical manifestations , CT scanning , inadequate drainage causes , treatment measures and outcome were summarized .Results Fiber separator and fibrin degradation product blocked drainage tube in 4 patients, tube angulation and haematoma membrane blocked drainage tube in 4,bleeding clot in 2 and intracranial pressure decreased rapidly in 1.There was no severe complications .Conclusion Urokinase perfusion through drainage tube , adjustment of the angle and depth of drainage tube , appropriate fluid infusion , adjustment of the head position can improve the effects of drainage and the prognosis .