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创伤性颅内静脉窦损伤急诊手术治疗

黄进兴 赖湘 叶敏 张文波 谢锋 梁明礼

国际医药卫生导报2012,Vol.18Issue(16):2429-2431,3.
国际医药卫生导报2012,Vol.18Issue(16):2429-2431,3.DOI:10.3760/cma.j.issn.1007-1245.2012.16.050

创伤性颅内静脉窦损伤急诊手术治疗

The emergency surgical treatment of traumatic intracranial venous sinus injury

黄进兴 1赖湘 1叶敏 1张文波 1谢锋 1梁明礼1

作者信息

  • 1. 514031 梅州市人民医院神经外一科
  • 折叠

摘要

Abstract

Objective To analyze the clinical features and evaluate surgical procedures of traumatic intracranial venous sinus injury.Methods From January 2008 to December 2010,we analyzed the clinical characteristics of 22venous sinus injury patients.They were compressed with gelatine spongedirectly,and sutured,and ligated sinus,with the aid of EC glue and suspended the dura to terminate the bleeding.Results We found 12 cases of superior sagittal sinus injury,6 cases of transverse sinus injury,2 cases of sinus exchange injury,1 case of rock sinus injury,1 case of sigmoid sinus injury.19 cases needed repair sinus,and 3 cases needed sinus ligation.According to Glasgow Outcome Scale,17cases had good prognosis(GOS 4-5),4 cases poor(GOS 2-3),1 death(GOS 1).Conclusion We should use the appropriate surgical approach dealing with different types of intracranial venous sinus injury,which can achieve satisfactory therapeutic effect.

关键词

颅脑损伤/静脉窦损伤/急诊手术

Key words

Craniocerebral injury/Venous sinus injury/Emergency surgery

引用本文复制引用

黄进兴,赖湘,叶敏,张文波,谢锋,梁明礼..创伤性颅内静脉窦损伤急诊手术治疗[J].国际医药卫生导报,2012,18(16):2429-2431,3.

国际医药卫生导报

1007-1245

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