中国社区医师Issue(35)：17-17,19,2.DOI:10.3969/j.issn.1007-614x.2014.35.9
后颅凹减压加脑室外引流治疗大面积小脑梗死78例分析
Analysis of posterior fossa decompression and brain outdoor drainage in the treatment of 78 cases of large area of cerebellar infarction
马清涛1
作者信息
- 1. 471700河南省洛阳市洛宁县妇幼保健院外科
- 折叠
摘要
Abstract
Objective:To explore the effect of posterior fossa decompression and brain outdoor drainage in the treatment of large area of cerebellar infarction.Methods:78 patients with large area of cerebellar infarction were selected from March 2009 to June 2014.Patients were prone position with general anesthesia.6.0 cm×7.0 cm window was opened along the suboccipital midline.The right occipital horn of lateral ventricle drainage was given.Part of the softening of necrotic brain tissue was removed.The incision was sutured.After operation,patients were given intensive care.After 1 week,external ventricular drainage tube was pulled out. Results:On the second day after operation,78 patients with consciousness were restored,and there was no death.After 3 months to 5 years follow-up,according to the physiscal self-maintenance scale,the patients were assessed:46 cases(59%) were gradeⅠ;14 cases(17.9%) were grade Ⅱ;8 patients(10.3%) were grade Ⅲ;6 patients were grade Ⅳ;4 cases(5.1%) were grade Ⅴ.The complications after operation:11 cases(14.1%) had vertigo;11 cases(14.1%) had dysphagia;5 cases(6.4%) had hearing loss;16 cases(20.5%) had ataxia;5 cases(6.4%) had hoarseness.Conclusion:The effect of posterior fossa decompression and brain outdoor drainage in the treatment of large area of cerebellar infarction is significant.The operation is simple and easy to operate.It is worthy of popularization.关键词
后颅凹减压加脑室外引流/大面积/小脑梗死Key words
Posterior fossa decompression and brain outdoor drainage/Large area/Cerebellar infarction引用本文复制引用
马清涛..后颅凹减压加脑室外引流治疗大面积小脑梗死78例分析[J].中国社区医师,2014,(35):17-17,19,2.
