摘要
目的分析颅脑损伤行大骨瓣减压术后患者并发硬膜下积液的预后。方法选取自2009年1月至2014年1月收治于陕西中医药大学附属医院脑外科的264例行大骨瓣减压术患者的临床资料，根据是否并发硬膜下积液分为硬膜下积液组（n=35）与对照组（n=229）。硬膜下积液组采取腰穿、皮下穿刺后弹力绷带加压包扎。采用格拉斯哥预后评分比较2组患者的预后。结果硬膜下积液组预后不良21例（60．0％），对照组预后不良128例（55．9％），差异无统计学意义（P〉0．05）。结论对于大骨瓣减压术后并发硬膜下积液，只要及时诊断、正确处理，不影响患者预后。
Objective To analysis the prognosis of patients with subdural effusion after decompressive craniectomy. Methods Retrospective analysis was performed on the clinical data of 264 patients after decompressive craniectomy （DC）, admitted to our hospital from January 2009 to January 2014. According to whether or not complicating with subdural effusion after DC, the patients were divided into subdural effusion group （n=35） and control group （n=229）. Patients in the subdural effusion group accepted pressure dressing with elastic bandage after lumbar puncture or subcutaneous puncture. Prognoses of the two groups were compared. Results The incidence of subdural effusion was 13.3% （35/264）; 21 patients （60%） from the subduml effusion group had poor prognosis, 128 patients （55.9%） in the control group had poor prognosis, and no significant difference was noted between the two groups （P〉0.05）. Conclusion The prognosis of patients with subdural effusion after DC would not be affected as long as having timely diagnosis and correct treatment.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2016年第11期1167-1169,共3页
Chinese Journal of Neuromedicine
关键词
大骨瓣减压术
硬膜下积液
预后
Decompressive craniectomy
Subdural effusion
Prognosis
