钻孔置管引流治疗硬膜外血肿20例体会

Experience of Treatment on Epidural Hematoma with Drilling Catheter Drainage

目的探讨钻孔置管引流治疗硬膜外血肿的经验。方法选择20例经CT扫描确诊的20例硬膜外血肿病例，局麻下行切开头皮3．0cm，颅骨钻孔迭血肿腔，清除部分血肿，将F14号硅胶管3—5个侧孔置入血肿腔，缝合固定。术后血肿腔注入10万u尿激酶的生理盐水5mL，闭管24h开始引流，间隔1～2h决定是否继续给药。结果20例经24h引流，CT复查，血肿引流彻底12例，48h后彻底引流7例，1例引流后发现再出血，改为开颅施血肿消除。成活率100％。结论钻孔置管引流治疗硬膜外血肿方法简单易行，疗效确切。

Objective To discuss the experience of drill catheter drainage treatment of epidural hematoma. Methods 20 eases of epidural hematoma patient who obtained diagnosis with CT were drilled to hematoma cavity under local anesthesia and 14 F silicon catheter was fixed and injected uroklnase and drainage. Results There were 12 cases in total hematoma clearance after 12 h, 7 cases in total hematoma clearance after 48 h and 1 case relapse and hematoma discarded. The successful rate was 100%. Conclusion This method might be performed easily with accuracy effect.