摘要
Abstract
Traumatic subdural effusion is a common disease in the department of neurosurgery.To better explore the diagnosis and treatment of disease,to protect the patient’s life and health,the author combines related research of other scholars for summary.In the first,the etiology and pathogenesis of traumatic subdural effusion is analyzed,including one-way flapper theory,blood brain barrier damage theory,high osmotic pressure theory,intracranial pressure balance disorders theory,cerebrospinal fluid malabsorption doctrine.Then combined with the clinical diagnosis is analyzed,because the disease is not typical,the clinical diagnosis depends on imaging examination.Finally the treatment options are discussed.The clinical treatment methods are diversity,they are mainly divided into the conservative treatment and the operative treatment,and now it is given priority to with conservative treatment.The conservative treatment measures include avoiding increased intracranial pressure factors,prevention and treatment of epilepsy,maintaining homeostasis,reasonable use of dehydrating agent,improving cerebral blood circulation and so on.The operative treatment includes the fontanelle before percutaneous centesis,drilling drainage surgery,waist big pool puncture indwelling tube continuous drainage surgery,subdural cavity-peritoneal shunt,arachnoid colostomy and temporal muscle filling operation,envelope resection craniotomy,ventricle mirror surgery and so on.关键词
外伤性硬膜下积液/发病机制/治疗Key words
Traumatic subdural effusion/Pathogenesis/Treatment