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中华神经创伤外科电子杂志

中华神经创伤外科电子杂志 ›› 2018, Vol. 04 ›› Issue (03) : 171 -174. doi: 10.3877/cma.j.issn.2095-9141.2018.03.010

所属专题： 文献；

短篇论著

额叶挫伤合并隐匿性跨上矢状窦硬膜外血肿的诊断与治疗
刘元钦1, 张庆露1, 李翠玲1, 赵传东1, 李博1, 张荣伟1,†()   
  1. 1. 250014　济南，山东省千佛山医院神经外四科
  • 收稿日期:2018-03-13 出版日期:2018-06-15
  • 通信作者: 张荣伟
  • 基金资助:
    国家自然科学基金资助项目(81471214)

Diagnosis and treatment of hidden extradural hematoma straddle superior sagittal sinus combined with frontal lobe contusion

Yuanqin Liu1, Qinglu Zhang1, Cuiling Li1, Chuandong Zhao1, Bo Li1, Rongwei Zhang1,†()   

  1. 1. Department of Neurosurgery, Shandong Provincial Qianfoshan Hospital, Jinan 250014, China
  • Received:2018-03-13 Published:2018-06-15
  • Corresponding author: Rongwei Zhang
  • About author:
    Corresponding author: Zhang Rongwei, Email:
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刘元钦, 张庆露, 李翠玲, 赵传东, 李博, 张荣伟. 额叶挫伤合并隐匿性跨上矢状窦硬膜外血肿的诊断与治疗[J]. 中华神经创伤外科电子杂志, 2018, 04(03): 171-174.

Yuanqin Liu, Qinglu Zhang, Cuiling Li, Chuandong Zhao, Bo Li, Rongwei Zhang. Diagnosis and treatment of hidden extradural hematoma straddle superior sagittal sinus combined with frontal lobe contusion[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2018, 04(03): 171-174.

目的

探讨额叶挫伤合并隐匿性跨上矢状窦硬膜外血肿的诊断与治疗原则。

方法

回顾性分析山东省千佛山医院神经外四科自2012年11月至2017年11月收治的额叶挫伤合并跨上矢状窦硬膜外血肿患者12例，术前行颅脑冠状位及矢状位CT及三维重建，根据影像学所示颅内出血损伤程度制定相应治疗方案，观察临床疗效。

结果

12例患者术后恢复GOSⅤ级6例（包括4例保守治疗），GOSⅣ级3例，GOSⅢ级2例，GOSⅡ级1例。

结论

早期准确诊断额叶挫伤合并跨上矢状窦硬膜外血肿并选择合理的处理方式对患者的预后有重要意义。

关键词: 额叶挫伤, 跨上矢状窦, 硬膜外血肿
Objective

To investigate the principle of the diagnosis and treatment of hidden extradural hematoma straddle superior sagittal sinus combined with frontal lobe contusion.

Methods

From November 2012 to November 2017, 12 cases of hidden extradural hematoma straddle superior sagittal sinus combined with Frontal Lobe Contusion admitted to Department of Neurosurgery, Shandong Provincial Qianfoshan Hospital were retrospectively analyzed, Preoperative brain coronal and sagittal CT and 3D reconstruction were performed, and the corresponding treatment plan was established according to the degree of intracranial hemorrhage and injury and the clinical efficacy was observed.

Results

In 12 patients, 6 cases of GOS Ⅴ were recovered after operation, including 4 patients with conservative treatment, 3 cases of GOSⅣ, 2 cases of GOSⅢ, 1 case of GOSⅡ level.

Conclusion

It is important for the prognosis of patients to accurately diagnose extradural hematoma straddle superior sagittal sinus combined with frontal lobe contusion and to choose a reasonable treatment.

Key words: Frontal lobe contusion, Straddle superior sagittal sinus, Extradural hematoma
图1 额叶挫伤合并跨上矢状窦硬膜外血肿病例1的影像学资料
图2 额叶挫伤合并跨上矢状窦硬膜外血肿病例2的影像学资料
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