Perioperative lumbar injection of Ringer's lactate solution in chronic subdural hematomas: a series of 100 cases.
Perioperative lumbar injection of Ringer's lactate solution in chronic subdural hematomas: a series of 100 cases.
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围手术期腰椎注射乳酸林格液治疗慢性硬膜下血肿：附100例。
DOI：
10.1227/00006123-198811000-00012
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发表时间：
1988
期刊：
影响因子：
4.8
通讯作者：
S. Bellard
中科院分区：
文献类型：
--
作者：
F. Grisoli;N. Graziani;Jean C. Peragut;F. Vincentelli;A. Fabrizi;Gerardo Caruso;S. Bellard
1979年至1987年间，100例慢性硬膜下血肿患者接受了手术治疗。手术包括用30 mm环钻进行颅骨切除术，血肿冲洗和引流，外膜和内膜撕裂，腰椎鞘内注射乳酸林格氏溶液以立即进行脑再扩张（平均注射量，130 ml）。该技术给出了以下结果：2%的死亡率，2%的中度发病率和96%的恢复率。患者恢复迅速，3级和4级病例（Markwalder分级）均获得良好结局。
A series of 100 patients underwent surgical treatment for chronic subdural hematomas between 1979 and 1987. The procedure consisted of craniectomy with a 30-mm trephine, irrigation and drainage of the hematoma, laceration of the outer and inner membranes, and lumbar intrathecal injection of Ringer's lactate solution for immediate cerebral reexpansion (average injection, 130 ml). This technique gave the following results: 2% mortality, 2% moderate morbidity, and 96% recovery. The recovery of the patients was rapid, and good outcome was achieved in Grade 3 and Grade 4 cases (Markwalder's classification).