摘要: 目的 探讨累及静脉窦的颅骨凹陷性骨折的临床特点、诊断及治疗。方法 回顾性分析我院自2002年以来收治的57例伴有静脉窦损伤的凹陷性骨折病例的临床特征、诊断方法、治疗及预后情况。结果 保守治疗11例，其中仅2例出现感染； 手术治疗46例，其中3例为保守治疗出院后因颅内高压症状而再次入院者。本组治愈54例，死亡3例，死亡率为5.2%。结论 保守治疗适用于无脑受压征及感染率小的患者，手术处理伤及静脉窦的颅骨凹陷性骨折应十分谨慎，对不同情况的凹陷性骨折及静脉窦损伤采取相应的治疗手段。

    关键词： 创伤； 颅骨骨折； 静脉窦

    Management of depressed skull fractures involving venous sinuses

    HE Yue,LEI Ting,SHU Kai,et al.

    (Department of Neurosurgery,Tongji Hospital,Tongji Medical College, Huazhong University of Science and Technology,Wuhan 430030，China)

    Abstract: Objective To explore the clinical characters,diagnosis and treatment of depressed skull fractures involving venous sinuses. Methods The characters,diagnosis,treatment and prognosis of 57 cases of depressed skull fractures involving venous sinuses admitted since 2002 in our hospital were analyzed retrospectively. Results In the conservative treatment group 2 out of 11 cases developed sepsis. Operations were performed in 46 cases. Fiftyfour cases were cured ...... 濡傛灉鎮ㄥ湪浣跨敤鎵嬫満绛夋祦瑙堟椂鏃犳硶鏌ョ湅鎴栦笅杞藉叏鏂囷紝鍙兘鏄鎼滅储寮曟搸澶辩湡鈥滆浆鐮佲€濓紝璇风偣鍑诲睆骞曟渶涓嬫柟鐨勨€滅數鑴戠増鈥濇垨鈥滃師缃戦〉鈥濊闂€�


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