[1]卜计源,薛韬,何紫阳,等.幕上手术后皮下积液发生的相关因素及治疗方法[J].临床神经外科杂志,2019,16(6):522-526.[doi:10.3969/j.issn.1672-7770.2019.06.013]
 BU Ji-yuan,XUE Tao,HE Zi-yang,et al.Correlative factors of subcutaneous fluid effusion after supratentorial neurosurgery and its treatments[J].Journal of Clinical Neurosurgery,2019,16(6):522-526.[doi:10.3969/j.issn.1672-7770.2019.06.013]
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幕上手术后皮下积液发生的相关因素及治疗方法()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第6期
页码:
522-526
栏目:
论著
出版日期:
2019-12-10

文章信息/Info

Title:
Correlative factors of subcutaneous fluid effusion after supratentorial neurosurgery and its treatments
作者:
卜计源薛韬何紫阳季骋远朱昀陈罡王中
215006 苏州,苏州大学附属第一医院神经外科
Author(s):
BU Ji-yuan XUE Tao HE Zi-yang et al.
The First Affiliated Hospital of Soochow University, Suzhou 215006, China
关键词:
术后皮下积液颅内高压骨瓣电解质紊乱负压引流
Keywords:
subcutaneous fluid effusion intracranial hypertension skull flap electrolyte disturbances negative pressure drainage
分类号:
R651.1+1
DOI:
10.3969/j.issn.1672-7770.2019.06.013
文献标志码:
A
摘要:
【摘要】目的 探讨神经外科幕上手术后皮下积液发生的相关因素及其治疗方法。方法回顾性分析476例幕上手术后发生皮下积液患者的临床资料,对皮下积液患者治疗方案及预后进行总结。结果颅内高压、未复位骨瓣、二次手术、低钠血症及低蛋白血症会增加术后皮下积液的发生率。负压引流可以预防皮下积液的发生;穿刺抽吸、加压包扎、腰大池引流可以治愈绝大多数的皮下积液。结论幕上手术后皮下积液属于神经外科手术常见并发症,与多种因素有关,应从多个方面来预防和综合治疗。
Abstract:
Abstract: ObjectiveTo analyze the correlative factors of subcutaneous fluid effusion after supratentorial neurosurgery and its treatments. MethodsThe clinical data of 476 patients with subcutaneous fluid effusion after supratentorial neurosurgery were analyzed retrospectively. The treatments and prognosis of patients with subcutaneous fluid effusion were summarized. Results Intracranial hypertension, lack of skull flaps, reoperation, hyponatremia and hypoproteinemia would increase the incidence of subcutaneous fluid effusion after supratentorial neurosurgery. The negative pressure drainage could prevent the occurrence of subcutaneous fluid effusion. The puncture aspiration, pressure bandaging and continuous lumbar drainage were able to cure most of the subcutaneous fluid effusion. ConclusionsThe subcutaneous fluid effusion after supratentorial neurosurgery is a common complication of neurosurgery, which is related to many factors. It should be prevented and treated through many sides.
更新日期/Last Update: 2019-12-10