摘要
目的 探讨颅骨钻孔硬脑膜外血肿引流并注入尿激酶的疗效.方法 对40例(观察组)硬脑膜外血肿患者实施颅骨钻孔引流并经引流管注入尿激酶治疗；另外40例(对照组)硬脑膜外血肿患者给予非手术治疗.比较两组疗效.结果 观察组患者引流1周,硬脑膜外血肿残量不超过5 ml.后均痊愈出院；随访6个月以上,无相关并发症.对照组中,5例保守治疗1个月后无效,后实施引流手术.结论 应用钻孔引流和血肿腔注入尿激酶的方法治疗颅内硬脑膜外血肿,创伤小,治疗效果好.
Abstract
Objective To evaluate the outcomes of epidural hematoma drainage and urokinase in intracranial epidural hematoma.Methods The intracranial epidural hematoma was treated with the hematoma drainage combined with urokinase local injection in 40 patients(group A).Another 40 cases with intracranial epidural hematoma received conservative therapy without surgery.Results The indwelling catheter in group A was kept for one week and epidural hematoma was eliminated with a residual hematoma less than 5 ml.The patients in group A discharged from the recovery and were followed up for more than 6 months without complications.Five patients in group B were operated for epidural hematoma drainage after failure of conservative therapy for one month.Conclusion The drainage together with local urokinase injection is effective in treating intracranial epidural hematoma with less trauma.
NETL
NSTL
维普
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