CAJ | 학술논문

目的：探讨慢性硬膜下血肿钻孔引流术后急性硬膜下出血的原因与治疗方法。方法收集我院神经外科在2010－12～2013－12间行慢性硬膜下血肿行钻孔引流手术患者的资料，统计术后出现急性硬膜下出血患者的资料，对其进行回顾性分析。结果通过对比手术前后的头颅CT，共有16例慢性硬膜下血肿患者手术后出现急性硬膜下出血，治疗效果较差，3例患者行开颅手术治疗，死亡2例，慢性血肿复发4例。分析其出血来源有三个方面。结论慢性硬膜下血肿术后急性硬膜下出血并不罕见，根据患者的特点采取合理的治疗方式可以有效减少此类并发症的发生。
목적：탐토만성경막하혈종찬공인류술후급성경막하출혈적원인여치료방법。방법수집아원신경외과재2010－12～2013－12간행만성경막하혈종행찬공인류수술환자적자료，통계술후출현급성경막하출혈환자적자료，대기진행회고성분석。결과통과대비수술전후적두로CT，공유16례만성경막하혈종환자수술후출현급성경막하출혈，치료효과교차，3례환자행개로수술치료，사망2례，만성혈종복발4례。분석기출혈래원유삼개방면。결론만성경막하혈종술후급성경막하출혈병불한견，근거환자적특점채취합리적치료방식가이유효감소차류병발증적발생。
Objective To discuss the causes and treatment of chronic subdural hematoma (CSDH) after drilling drainage leading to a-cute subdural hemorrhage.Methods Drill drainage surgery for CSDH cases in the last three years was collected , and clinical data of acute subdural hemorrhage after operation were analyzed retrospectively.Results By comparing skull CT before and after surgery , there were 16 cases with CSDH after drilling drainage leading to acute subdural hemorrhage.They had poor prognosis in 4 recurrent cases with chronic he-matoma, 3 cases with craniotomy and 2 died.There were three aspects of bleeding.Conclusion CSDH after drilling drainage leading to a-cute subdural hemorrhage is not uncommon.According to the characteristics of the patients , taking reasonable treatment can effectively re-duce such complications.