慢性硬膜下血肿病人的治疗体会

Chronic Subdural Hematoma Treatment of Patients

目的:探讨慢性硬膜下血肿病人钻孔引流治疗的效果及注意事项,探讨钻孔手术对慢性硬膜下血肿病人的适应证。方法:①术中采用基础+局麻的方法。②钻单孔冲洗引流;术后常规引流1~3d。结果:本组病例共233例,其中双侧者39例,单侧者194例,术后1例死亡。术后3个月复查CT示脑复张良好。血肿完全消除,病人生活自理,平均住院日为10d。结论:对于慢性硬膜下血肿的病人在基础+局麻下进行钻单孔引流术是一种良好的手术方法,病人痛苦小,术后恢复良好。

Objective:To investigate patients with chronic subdural hematoma drainage in the treatment of the effect of drilling and notes,of drilling operations on patients with chronic subdural hematoma is indicated.Methods:①basic+anesthesia technique used in the method;②irrigation drainage hole drilling;routine drainage after 1~3 days.Results:A total of 233 cases of this group of patients,including 39 patients with bilateral,unilateral were 194 cases,1 died after surgery.Review 3 months after the brain CT showed a good re-expansion.Hematoma completely eliminated.Patient self-care,the average hospital stay was 10 days.Conclusion:For patients with chronic subdural hematoma based on+line drill hole drainage under local anesthesia technique is a good surgical technique,patient pain,postoperative recovery was good.