| 颅脑肿瘤切除术后硬膜外血肿的原因及预防 |
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| 引用本文： | 牛华涛,罗林,左频,袁红平,白刚,梁振. 颅脑肿瘤切除术后硬膜外血肿的原因及预防[J]. 医学与哲学(人文社会医学版), 2010, 0(8): 29-30 |
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| 作者姓名： | 牛华涛 罗林 左频 袁红平 白刚 梁振 |
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| 作者单位： | 昆明医学院第三附属医院（云南省肿瘤医院）神经外科,云南昆明650118 |
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| 基金项目： | 致谢：对昆明医学院程传贤教授的悉心指导表示衷心感谢. |
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| 摘 要： | 浅析颅脑肿瘤切除术后硬膜外血肿形成的原因及预防措施。回顾性分析本科室自2005年7月～2009年7月共计13例脑肿瘤术后硬膜外血肿发生的特点,所有病例血肿均发生于小脑幕上,其中7例位于额部,3例位于颞部,2例位于顶部,1例位于枕部;平均血肿量为(37.3±3.2)ml。脑肿瘤切除术后硬膜外血肿形成机制为多种原因所导致的颅内压及脑脊液动力学改变致硬脑膜与颅骨剥离有关。各环节采取相应预防措施及术后常规复查头颅CT是防治脑肿瘤术后非手术区域硬膜外血肿的关键。
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| 关 键 词： | 颅脑肿瘤 硬膜外血肿 原因 预防 |
The Causes and Prophylaxis of Postoperative Epidural Hematoma following The Resection of Brain Tumor |
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| Affiliation: | NIU Hua-tao, LUO Lin , ZUO Pin, et al. (Department of Neurosurgery , the 3rd Affiliated Hospital of Kunming Medical College, Kunming 650118, China) |
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| Abstract: | To analyze the causes and prophylaxis of postoperative epidural hematoma post the resection of brain tumor, we analyzed 13 patients who were postoperative epidural hematoma post the resection of brain tumor during July 2005 to July 2009. The hematoma located at frontal temporal parietal and occipital regions in all cases. The average hematoma volume was （37.3±3.2） ml. Most experts considered that hematoma were caused by intracranial pressure dropped quickly and dynamics of cerebrospinal fluid changed sharply. The postoperative intensive care and CT scanning are very important for improving the patient＇s outcome. |
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| Keywords: | brain tumor epidural hematoma cause prophylaxis |
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