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纱布填塞与取出:外伤性鼻窦损伤止血的两阶段手术

Gauze Packing and Removal: Two-staged Operations for Hemostasis of Traumatic Sinus Injury.

作者信息

Nakata Hidekazu, Shimooka Nao, Uno Takahiro, Sasaki Hanako, Ishida Shiromaru, Dehara Makoto, Hagihara Yasushi

机构信息

Department of Neurosurgery, Rinku General Medical Center, Izumisano, Osaka, Japan.

出版信息

NMC Case Rep J. 2025 Feb 7;12:21-26. doi: 10.2176/jns-nmc.2024-0100. eCollection 2025.

Abstract

The importance of traumatic dural venous sinus injury lies in the probability of massive blood loss at the time of trauma or emergency operation resulting in a high mortality rate during the perioperative period. We present 2 case reports highlighting the successful outcome of patients with head trauma and cerebral venous sinus injury treated with gauze packing. Hemorrhage was successfully halted in 2 patients, and all survived their operations. Both of them were discharged from the hospital and had an improved Glasgow Coma Scale score at the time of the last follow-up. There were no postoperative intracranial or wound infections. Intracranial packing to tamponade severe intracranial hemorrhage can be a lifesaving neurosurgical maneuver.

摘要

创伤性硬脑膜静脉窦损伤的重要性在于创伤或急诊手术时大量失血的可能性,这会导致围手术期死亡率很高。我们报告2例病例,突出了采用纱布填塞治疗的头部创伤和脑静脉窦损伤患者的成功结果。2例患者出血均成功止住,且均在手术后存活。他们均已出院,在最后一次随访时格拉斯哥昏迷量表评分有所改善。术后无颅内或伤口感染。颅内填塞以压迫严重颅内出血可能是一种挽救生命的神经外科操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/299a/11867696/3118c8e8efe8/2188-4226-12-0021-g001.jpg

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