[摘要] 目的 探讨基层医院开展微创治疗部分急性硬膜外血肿的可行性。方法 回顾性总结我院28例急性硬膜外血肿采用钻孔引流治疗的临床资料。结果 2例术后第一天血肿增大，行开颅血肿清除术后治愈，5例血肿大部分清除，21例血肿完全清除。结论 采用钻孔尿激酶冲洗引流选择性治疗急性硬膜外血肿具有创伤小、操作简便、经济、疗效佳、患者易于接受等优点。

    [关键词] 引流术;血肿，硬膜外，颅内

    The clinical realization trephination and irrigation for treatment acute epidural hematoma

    PAN Hai-yan,ZHONG Sheng.Department of Surgery,Changbanpo Hospital,Dangyang 444100,China

    [Abstract] Objective To explore the possibility of spreading micro-invasive treatment for acute epidural hematoma in basic hospital.Methods Retrospective analysis on the clinic dates of 28 cases with underwent trephination and drainage treatment for acute epidural hematoma in our hospital.Results In 2 cases, the hematoma became larger in the first day postoperatively. After the craniotomy and evacuation of hematoma, they were cured. In 5 cases, most of the hematomas were cleared. And in 21 cases the hematomas were totally cleared.Conclusion The selective use of trephination and drainage treatment for acute epidural hematoma pocesses many advantages, such as micro-invasion, easy operation,little expense, perfect efficacy,ready acceptance from patients and so on. ......