外伤性大脑镰旁硬膜下血肿15例报告

呈明显均匀强化的作用,因此,增强扫描或随访复查CT都能明确鉴别诊断。Р 对于手术病例,我们应注意:①手术治疗应以微创为原则;②术中要注意保护未受损伤的上吻合桥静脉,特别是中央沟静脉,避免大脑静脉回流障碍、加重脑水肿[7];③注意术中保护中央前回运动区,避免或加重对侧运动功能损害。Р Р 总之,大脑镰旁硬膜下血肿是临床上比较少见的硬膜下血肿,如能及时治疗,有利于神经功能恢复,可获得较满意疗效。Р 【参考文献】Р [1]Bartels RHMA, Verhagen , Prick MJJ, et al. Interhem ispheric subdural hematoma in adults:case reports and a revie ispheric subdural hematoma [J]. Nrvenarzt,1998,69(4):342-351.Р [3]Senel A, Cokluk C, Onder A, et al. Acute interhem ispheric subdural hematomas report of nine cases [J]. J Neurosurg Sci,2001,45(2):97-102.Р [4]Matsumoto K, Houri T, Yamaki T, et al. Traumatic acute subdural hernatoma localized on the superior surface of the tentorium cerebelli-tonte M, Baklni M, et al. Typical interhem ispheric subdural hematomas and falx syndrome,fourcase and a revie].武汉:湖北科学技术出版社,1998:36.