發(fā)布時(shí)間：2018-06-09 05:40

  本文選題：外傷性腦脊液漏 + 保守治療��； 參考：《廣西醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的：總結(jié)外傷性腦脊液漏的診治經(jīng)驗(yàn),探討有效的治療方法。方法：回顧性分析廣西醫(yī)科大學(xué)第一附屬醫(yī)院神經(jīng)外科2008年1月至2014年6月收治的49例外傷性腦脊液漏患者資料,依病情分別采取保守治療和手術(shù)治療,保守治療包括常規(guī)保守治療和腰大池持續(xù)外引流治療,歸納病例特點(diǎn),總結(jié)經(jīng)驗(yàn)。結(jié)果：49例患者中,5例傷后早期接受手術(shù),4例痊愈,1例死亡。.44例初期先行保守治療,30例通過常規(guī)保守治療在1W內(nèi)痊愈,14例在1W內(nèi)無明顯好轉(zhuǎn),予加行腰大池置管持續(xù)外引流治療,8例經(jīng)持續(xù)引流在2W內(nèi)痊愈,6例經(jīng)引流2W腦脊液漏無明顯減少,予行延期腦脊液漏修補(bǔ)術(shù),5例一次手術(shù)修補(bǔ)成功,1例繼發(fā)顱內(nèi)感染復(fù)發(fā),再次手術(shù)后痊愈。結(jié)論：通過正確的處理,絕大多數(shù)外傷性腦脊液漏患者經(jīng)保守治療可取得滿意效果,對(duì)骨折嚴(yán)重、顱內(nèi)血腫量大、腦脊液漏明顯的患者常需早期行手術(shù)治療,對(duì)經(jīng)保守治療3W效果不佳的患者應(yīng)行延期腦脊液漏修補(bǔ)術(shù),以免病情遷延、惡化。
[Abstract]:Objective: to summarize the experience of diagnosis and treatment of traumatic cerebrospinal fluid leakage (TCSF). Methods: the data of 49 patients with traumatic cerebrospinal fluid leakage admitted from January 2008 to June 2014 in the Neurosurgery Department of the first affiliated Hospital of Guangxi Medical University were retrospectively analyzed. Conservative treatment includes routine conservative treatment and continuous external drainage of lumbar cistern. Results among 49 cases, 5 cases received early postoperative surgery and 1 case died. 44 cases were treated with conservative therapy first. 30 cases were cured within 1 week after routine conservative treatment. 14 cases had no obvious improvement in 1 week. 8 cases were cured by continuous drainage and 6 cases had no significant reduction of cerebrospinal fluid leakage after 2 W drainage. 5 cases were treated with delayed cerebrospinal fluid leakage repair and 1 case with secondary intracranial infection. He recovered from the second operation. Conclusion: through correct treatment, the majority of traumatic cerebrospinal fluid leakage patients can obtain satisfactory results by conservative treatment. Patients with severe fracture, large amount of intracranial hematoma and obvious cerebrospinal fluid leakage often need early surgical treatment. Delayed cerebrospinal fluid leakage repair should be performed for the patients who have been treated with conservative therapy for 3 W to prevent the disease from prolonging and worsening.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R651.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 路安慶;陳莉軍;霍宏志;梁金;陳天立;;腦脊液鼻漏術(shù)前影像學(xué)漏口定位的臨床研究[J];甘肅醫(yī)藥;2009年03期

2 錢茂華;馬莉;孔令華;汪曉雷;;隱匿性腦脊液鼻漏的顯像診斷及鼻內(nèi)鏡下手術(shù)修補(bǔ)[J];南京醫(yī)科大學(xué)學(xué)報(bào)(自然科學(xué)版);2011年08期

3 謝昌紀(jì);李亮;黃純真;付洛安;;外傷性腦脊液鼻漏的診斷治療進(jìn)展[J];中華神經(jīng)外科疾病研究雜志;2013年01期

4 肖慶,羅其中,江基堯,邱永明;腦脊液鼻漏的診斷與治療(附53例報(bào)告)[J];中國臨床神經(jīng)外科雜志;2005年04期

5 崔佳嵩;石傳江;劉濱;楊濤;楊波;;顱底骨折及其并發(fā)癥的治療[J];中國臨床神經(jīng)外科雜志;2009年05期

6 洪亞軍;錢志遠(yuǎn);劉士海;袁利群;蘭青;;持續(xù)腰大池引流臨床應(yīng)用35例體會(huì)[J];中國臨床神經(jīng)外科雜志;2011年09期

7 宋明;張亞卓;;應(yīng)用神經(jīng)內(nèi)鏡修補(bǔ)腦脊液鼻漏[J];中國醫(yī)刊;2007年12期

8 李躍繼,蘇晨芳;腰大池持續(xù)引流治療傷口腦脊液漏[J];中華神經(jīng)外科雜志;2001年03期

9 劉丕楠;孫茂林;吳勝田;李智;;內(nèi)鏡下經(jīng)鼻腦脊液漏修補(bǔ)術(shù)[J];中華神經(jīng)外科雜志;2006年06期

10 劉鳳強(qiáng),芮奕鋒,楊守玉,王志恒,吳厚慧;一期手術(shù)治療前額凹陷前顱底粉碎性骨折并腦脊液鼻漏[J];浙江創(chuàng)傷外科;2002年04期

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本文編號(hào)：1999206