CAJ | 학술논문

目的探讨急性硬膜下血肿微创穿刺清除治疗的疗效. 方法回顾性分析35例急性硬膜下血肿患者,CT定位引导穿刺抽吸、液化、引流血肿,1～3d内血肿基本清除后拔出穿刺针. 结果术后24h内复查CT示血肿减少＞80％.意识清醒者穿刺后头痛、呕吐症状明显好转.6个月后格拉斯哥预后评分(GOS):5分16例,4分15例,3分4例.继发脑积水1例,癫痫2例. 结论选择性应用一次性穿刺针穿刺清除治疗急性硬膜下血肿疗效可靠,并发症少,可显著改善患者预后.
목적 탐토급성경막하혈종미창천자청제치료적료효. 방법 회고성분석35례급성경막하혈종환자,CT정위인도천자추흡、액화、인류혈종,1～3d내혈종기본청제후발출천자침. 결과 술후24h내복사CT시혈종감소＞80％.의식청성자천자후두통、구토증상명현호전.6개월후격랍사가예후평분(GOS):5분16례,4분15례,3분4례.계발뇌적수1례,전간2례. 결론 선택성응용일차성천자침천자청제치료급성경막하혈종료효가고,병발증소,가현저개선환자예후.
Objective To investigate the effects of minimally invasive key-hole drainage for treating acute subdural hematoma.Methods Thirty-five patients with acute subdural hematoma treated by key-hole drainage were retrospectively analyzed.CT-oriented key-hole drainage was performed to aspirate,liquefy and drain hematoma.The transfixion pin was removed after hematoma was basically cleared within 1 to 3 days.Results Hematoma volume decrease was greater than 80％ by follow-up CT 24 hours postoperatively.Headache and vomiting in the preoperative conscious patients were significantly relieved after key-hole drainage.Glasgow Outcome Score (GOS) was 5 points in 16 patients,4 points in 15 and 3 points in four six months postoperatively.One patient was complicated with hydrocephalus and two with epilepsy.Conclusions Key-hole drainage with disposable transfixion pin selective employed for patients with acute subdural hematoma is effective and has few complications.The treatment notably improves prognosis of the patients.