论文部分内容阅读
目的:观察锥颅引流联合尿激酶治疗跨横窦急性硬膜外血肿的临床疗效。方法:选择我院收治的跨横窦硬膜外血肿151例,随机分为观察组74例和对照组77例;观察组采用锥颅引流联合尿激酶治疗,对照组采用常规开颅血肿清除治疗,对比两组病情转归及静脉窦循环恢复情况。结果:两组均未出现死亡病例;两组原发血肿部位再出血率、颅内压数据、出院时临床症状及脑静脉回流改善情况等均差异不显著(P<0.05)。观察组转为开颅手术治疗4例。结论:锥颅引流联合尿激酶治疗跨横窦硬膜外血肿疗效与常规开颅血肿清除治疗相当。
Objective: To observe the clinical effect of skull drainage combined with urokinase in the treatment of acute epidural hematoma across transverse sinus. Methods: A total of 151 transondicular epidural hematomas were randomly divided into observation group (n = 74) and control group (n = 77). The observation group was treated by skull drainage combined with urokinase, and the control group was treated by conventional craniotomy , Comparing the two groups of disease outcomes and sinus circulation recovery. Results: No deaths occurred in either group. There was no significant difference in rebleeding rate, intracranial pressure data, clinical symptoms at discharge and cerebral venous return in the two groups (P <0.05). The observation group was converted to craniotomy for 4 cases. CONCLUSION: Cone cranial drainage combined with urokinase in treatment of transdimetrial sinus edema is equivalent to conventional craniotomy.