Pedachenko E G, Makeeva T I, Egunian M A
Vestn Khir Im I I Grek. 1989 Feb;142(2):60-2.
An analysis of 463 patients operated upon for severe cranio-cerebral traumas has shown that one of the main factors improving results of treatment is using the methods of neurosurgical prophylactics of intracranial hemorrhages in the postoperative period. A considerably less incidence of intracranial hemorrhages can be achieved by using the inflow-outflow dialysis system, removing the crushed brain substance, suturing the dura mater to the periosteum at the borders of the bone defect. The ends of the ligature are taken out onto the skin through the holes in the center of the osseous flap.
对463例接受严重颅脑创伤手术的患者进行分析后发现,改善治疗效果的主要因素之一是在术后采用神经外科预防颅内出血的方法。通过使用流入-流出透析系统、清除破碎的脑组织、在骨缺损边缘将硬脑膜缝合到骨膜上,可以显著降低颅内出血的发生率。结扎线的末端通过骨瓣中心的孔引出到皮肤上。