摘要
目的探讨SDHSI的诊断与手术方法。方法回顾性分析12例SDHSI患者的临床资料。均予开颅手术,术中发现前1/3上矢状窦损伤7例,中后2/3上矢状窦损伤3例,横窦损伤1例,横窦及乙状窦交界处损伤1例。结果按GOS记分,死亡8例,重残1例,中残2例,恢复良好1例。3例死于失血性休克,5例死于脑干功能衰竭。结论 SDHSI是一种特殊类型的硬膜下血肿,病情重,进展快,处理困难,术前明确诊断和正确的手术方法是提高抢救成功率的关键。
Objective To investigate the clinical characteristics of acute subdural hematomas post venus sinus injury （ SDHSI ）. Methods 12 patients were reviewed.All cases were performed craniotomy. It was found that former 1/3 sagittal sinus injury in 7 cases, post 2/3 sagittal sinus injury in 3 cases, transverse was sinus injuryl case, 1 case with transverse sinus and sigmoid sinus eommissural. Results According to GOS, 8 cases died of brainstem function failure, 1 case severe disabilty,2 moderately disabihy, 1 good recoveryed. 3 patients died of hemorrhagic shock, 5 patients died of brain stem failure. Conclusion SDHSI is a special type of subdural hematoma, the deterioration of illness rapidly, processing difficultly. Preoperative diagnosis and proper surgical method are the key to improve rescue success rate.
出处
《中国医药科学》
2011年第12期113-114,共2页
China Medicine And Pharmacy
关键词
硬膜下血肿
静脉窦
诊断
开颅手术
Subdural hematoma
Venous sinus
Diagnosis
Craniotomy
