下载后可任意编辑轻型颅脑损伤需要去骨瓣吗【重型颅脑损伤去骨瓣减压术后皮瓣下积液的防治】轻型颅脑损伤需要去骨瓣吗【重型颅脑损伤去骨瓣减压术后皮瓣下积液的防治】 【摘要】 目的讨论 32 例重型颅脑损伤去骨瓣术后皮瓣下积液形成原因及防治。方法 回顾性分析 32 例重型颅脑损伤去骨瓣术后皮瓣下积液病例,对其发生原因、防治方法进行讨论。结果 保守观察 8 例;24 例分别行头皮穿刺或者手术治疗,痊愈 13 例,好转 1 例。结论 积液量少者可以保守观察,对于积液量多、临床症状进行性加重的患者宜选择头皮穿刺或者手术治疗。经过积极处理,多能取得满意的治疗效果。 【关键词】 去骨瓣减压术;皮瓣下积液; 重型颅脑损伤;防治 Prevention and treatment of scalp effusion after removing bone valve decompression for the severe craniocerebral injury CHEN Wei-tao, WANG Xu-tang, ZHANG Jian,et al. Department of Neurosurgery,The People’s Hospital of Junan County, Shandong Province xxxx, China 【Abstract】 Objective To study the prevention, treatment and cause of scalp effusion after removing bone valve decompression for 32 patients with severe craniocerebral injury. Methods Pathogeny, prevention and treatment of 32 cases of scalp effusion after removing bone valve decompression for severe craniocerebral injury were analyzed retrospectively. Results 8 of 32 cases used the conservative therapy,24 cases used punc- 1下载后可任意编辑 作者单位:xxxx 山东省莒南县人民医院神经外科 ture of scalp or operation therapy.13 cases of patients were cured,1 case of patient was improved. Conclusion Patients with little scalp effusion can be treated with conservative therapy. For those with heavy effusion and progressively heavy clinical symptoms should choode puncture of scalp or operation methods. 【Key words】 Removing bone valve decompression Scalp effusion; Severe craniocerebral injury; Prevention and treatment 重型颅脑损伤患者在行开颅去骨瓣减压术后,部分患者在手术骨窗区...