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急性硬膜下血肿中桥静脉预防性结扎的临床意义:一例报告

Clinical Importance of Prophylactic Ligation of the Bridging Vein in Acute Subdural Hematoma: A Case Report.

作者信息

Park Jun Seok, Sin Eui Gyu

机构信息

Department of Neurosurgery, Konyang University Hospital, Daejeon, Korea.

出版信息

Korean J Neurotrauma. 2023 Jan 17;19(1):103-108. doi: 10.13004/kjnt.2023.19.e2. eCollection 2023 Mar.

Abstract

Acute subdural hematoma (ASDH) induced by a bridging vein (BV) rupture is considered a catastrophic head injury, especially in the elderly. Epidemiological studies have shown a much higher incidence rate of BV-induced ASDH in the elderly compared to younger adults, along with elevated morbidity and mortality, and poor outcomes. Brain atrophy can be a risk factor contributing to the increased risk of ASDH in elderly trauma patients. Considering this, prophylactic ligation of the impending breakage in the BV may reduce the risk of rebleeding and treat the ASDH. Here, we report a relevant case.

摘要

桥静脉破裂所致急性硬膜下血肿(ASDH)被视为一种灾难性颅脑损伤,在老年人中尤为如此。流行病学研究表明,与年轻成年人相比,老年人中桥静脉所致ASDH的发病率要高得多,且发病率和死亡率均有所上升,预后较差。脑萎缩可能是导致老年创伤患者发生ASDH风险增加的一个危险因素。考虑到这一点,对即将破裂的桥静脉进行预防性结扎可能会降低再出血风险并治疗急性硬膜下血肿。在此,我们报告一例相关病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/938a/10083443/a923c735adfb/kjn-19-103-g001.jpg

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