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椎板切除后脑脊液漏的防治 被引量:6

THE TREATMENT AND PREVENTION OF CEREBROSPINAL FLUID LEAK AFTER LAMINECTOMY
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摘要 因各种疾病作椎板切除1138例中有45例发生脑脊液漏,发生率为3.95%。作者采取抽吸脑脊液、头低脚高俯卧位、早期拔除引流、局部加压缝合或加压固定等措施,脑脊液漏均获得治愈。文内还对脑脊液漏并发感染,产生脑脊膜炎及其预防措施进行了讨论。 Laminectomy was performed in 1138 cases for different diseases. Among them 45 cases (3.95%) were complicated with cerebrospinal fluid leak which was treated with conservative methods. All the patients were cured after treatment such as drainage of cerebrospinal fluid, reverse Trendelenburg position in bed, early removal of drainage tube, suture of the leaking point and pressure dressing. The authors point out that the risk of meningitis will increase when cerebrospinal fluid leakage is complicated with infection. The prevention of cerebrospinal leak is discussed.
出处 《上海医学》 CAS CSCD 北大核心 1992年第1期20-23,共4页 Shanghai Medical Journal
关键词 脑脊液漏 保守治疗 椎板切除 预防 Cerebrospinal fluid leak treatment prevention
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  • 2程力利,阎素珍,徐艳,吴存招,朱慧敏.头低脚高位预防腰穿后头痛[J].中华护理杂志,1994,29(11):661-662. 被引量:9
  • 3何二兴,黄文铎,陈志峰.腰椎手术后脑脊液漏的防治[J].中国脊柱脊髓杂志,1996,6(5):221-222. 被引量:13
  • 4Jones AA, Stambough JL, Balderston RA, et al. Long-term results of lumber spine surgery complicated by unintended incidental durotomy [ J ]. Spine, 1989,14 ( 2 ) :443 - 446.
  • 5Stoke D, Sollmann WP, Seifert V. Intra-and post-operative complications in lumbar disc surgery [ J ]. Spine, 1989,14 (1) :56 -59.
  • 6Weisman M, Schweppe Y. Postoperative cerebrospinal fluid leakage after lumbar spine operations conservstive trestment [J]. Spine, 1991,16(1) :52 -53.
  • 7崔增学,周贵平,李宗伍.婴儿腰脊膜膨出术后脑脊液漏的治疗(附12例分析)[J]河北医药,1990(03).
  • 8崔增学,周贵平,李宗伍.婴儿腰脊膜膨出术后脑脊液漏的治疗(附12例分析)[J]河北医药,1990(03).
  • 9裘法祖.外科学[M]人民卫生出版社,1996.
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