Meier U, Gärtner F, Knopf W, Klötzer R, Wolf O
Neurotraumatological Clinic, Hospital of Friedrichshain, Berlin, Federal Republic of Germany.
Acta Neurochir (Wien). 1992;119(1-4):91-3. doi: 10.1007/BF01541788.
In a period of 13 years 978 cases of severe head injuries were operated on in our clinic. An analysis of the medical reports includes injuries of the superficial dural sinus (39 cases = 4%): among these injuries of the anterior and central part of the superior sagittal sinus (66 per cent), injuries of the transverse sinus (18 per cent), injuries of the posterior part of the superior sagittal sinus (8 per cent), and combined injuries of different dural sinuses (8 per cent). Clinical data, i.e. the causes of accident, radiological examination results, intracranial lesions, operation techniques and outcome are analysed and discussed. The analysis of cases with dural sinus injuries shows a high mortality rate (total mortality rate: 16 patients = 41%; intra-operative mortality rate: 8 patients = 20%).
在13年的时间里,我们诊所对978例严重头部损伤患者进行了手术。对医疗报告的分析包括浅表硬脑膜窦损伤(39例,占4%):其中上矢状窦前部和中部损伤(66%)、横窦损伤(18%)、上矢状窦后部损伤(8%)以及不同硬脑膜窦的联合损伤(8%)。对临床数据,即事故原因、放射学检查结果、颅内病变、手术技术和结果进行了分析和讨论。对硬脑膜窦损伤病例的分析显示死亡率很高(总死亡率:16例患者,占41%;术中死亡率:8例患者,占20%)。