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编号:10741908
慢性硬膜下血肿引流术后血肿再发的原因分析
http://www.100md.com 《中华现代外科学杂志》 2005年第14期
慢性,,血肿;硬膜下;慢性;引流术;再发血肿,1临床资料,2讨论,【参考文献】
     【摘要】 目的 探讨慢性硬膜下血肿钻孔引流术后血肿再发的原因。方法 回顾分析我院曾收治的2例患者临床资料。结果 慢性硬膜下血肿钻孔引流术后血肿再发可分为3种:硬膜外血肿、硬膜下血肿和对侧再发血肿,原因各不相同。结论 颅骨钻孔引流术是治疗慢性硬膜下血肿的首选方法。手术虽简单,但也应注意多方面操作,方可预防血肿复发。再发血肿多采用骨瓣开颅血肿清除的方法。

    【关键词】 血肿;硬膜下;慢性;引流术;再发血肿

    【Abstract】 Objective To explore the etiology of relapse hematoma in postoperative CSDH trephination and drainge patients.Methods 2cases clinical records were retrospectively analysed.Results Relapse hematoma in postoperative trephination and drainge patients can be divided in three types:epidural hematoma,subdural hematoma and opposite relapse hematoma.

    Conclusion Cranial trephination and drainge operation was the first choice of chronic subdural hematoma therapy.Although the operation was simple,we should pay more attention to the performance to prevent the relapse hematoma.Relapse hematoma was treated via the clearance of homolateral hematoma by craniotomy with bone flap.

    【Key words】 hematoma;subdural;chronic;trephination and drainge;relapse hematoma

    慢性硬膜下血肿(chronic subdural hematoma,CSDH)临床常见 ......

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