文档介绍：颅骨钻孔结合尿激酶微创治疗外伤性硬膜外血肿
作者:任光阳,王培,谢明祥,王玉玉,刘同华,李刚,李毅,肖顺武,张学军,犹春跃,代垠
【摘要】目的探讨颅骨钻孔结合尿激酶微创治疗外伤性硬膜外血肿的可行性。方法总结900例颅骨钻孔结合尿激酶微创治疗外伤性硬膜外血肿的临床资料。结果术前血肿量≤30ml 297例,31~60ml 405例,≥61ml 198例;每次尿激酶用量为2~6万IU,其中:2万IU 99例,3万IU 234例,4万IU 324例,5万IU 198例,≥6万IU 45例;尿激酶使用次数为:2次/d 747例,3次/d 153例;术后轴位CT扫描动态观察硬膜外血肿显示:7天内完全消退并解除占位效应855例;GOSⅤ级810例,≤Ⅳ级90例。结论正确把握硬膜外血肿的手术适应证和禁忌证,颅骨钻孔结合尿激酶微创治疗硬膜外血肿是一种简单、安全而有效的手段。
【关键词】硬膜外血肿;颅骨钻孔;尿激酶
Abstract: Objective To discuss the feasibility of minimally invasive treatment of traumatic epidural haematoma with drilling skull plus Totally 900 patients with traumatic epidural haematoma who were treated with drilling skull plus urokinase were Epidural haematoma volume before oper
ation was ≤30ml in 297 patients,31~60ml in 405 patients, and ≥61ml in 198 aspiration was followed by instillation of urokinase(20 000 to 60 000 IU), including 20 000 IU in 99 patients,30 000 IU in 234 patients,40 000 IU in 324 patients,50 000 IU in 198 patients,≥60 000 IU in 45 patients the injection was repeated two times per day in 747 patients,three times per day in another 153 axial CT scan revealed that the hematoma pletely evacuated within 7 days in 855 to the Glasgow e score,810 patients were Grade V,90 patients ≤ Drilling skull plus urokinase for tr