LCDF in neurosurgery clinical application ( report

ncycgdxhl · Wysłany: Sob 22:31, 19 Mar 2011

LCDF in neurosurgery clinical application (report of 44 cases)

Injections of effective antibiotics, the average body temperature and 8d results of cerebrospinal fluid into the normal routine biochemical cure in 7 cases, 1 case complicated by multiple organ failure deaths. 3.4 The group is still used for other diffuse brain swelling, intracranial hypertension who, after surgical removal of lesions, such as decompressive craniectomy after treatment, most symptoms were relieved, but for intracranial hypertension, conventional treatment bad . We supplemented LCDF treatment,[link widoczny dla zalogowanych], sustainable and stable even reduce intracranial pressure, swelling of the brain tissue as soon as possible to return the cranial cavity,[link widoczny dla zalogowanych], is conducive to recovery of neurological function. In addition,[link widoczny dla zalogowanych], the group was LCDF for 4 patients with traumatic hydrocephalus, during injection of oxygen filter (each 2o ~ 40rnl, daily or every other day 1), with the lifting of adhesions, restoration of cerebrospinal fluid circulation, promote absorption, increase the oxygen diffusion role, cure or alleviate the symptoms of hydrocephalus. Reports LCDF can be applied in the skull base neurosurgery, by intraoperative drainage of cerebrospinal fluid can significantly reduce intracranial pressure, reduced brain volume, reducing pressure on the brain tissue stretch, which will help to reveal the operative field, has a good clinical applications. And prevention of common complications 3.5LcDF Overall LCDF is safe, the group records without serious complications. Comprehensive literature reports complications that may occur as follows: (1) acute subdural hematoma, intracranial tension pneumocephalus: seen in patients with high intracranial pressure, the Department of the initial rapid release liquid, or air quickly tear bridging veins into the brain of the To, initial treatment should be slow release liquid, 5 ~ 15ml / h is appropriate. The set of concurrent subdural hematoma in 1 case, by conservative cure. (2) secondary intracranial infection: multiple retrograde infection caused by improper operation or drainage tube placement caused by too long. Postoperative drainage system should be regularly disinfected, and timely replacement of strict aseptic sterile dressings, drainage time, the best control in less than 14d. (3) drainage tube blockage: often occurs in cases of infection, the plug can be used when low saline wash, replacement of drainage pipes to be invalid, the group had 1 case. (4) puncture exudate: usually occurs in 1 week after catheter drainage, 1 case occurred in this group after extubation. Treatment: disinfection, pressure bandage, 3d after the leak disappeared. (5) intracranial hypotension syndrome: a LCDF the most common complication, 38 cases occurred in this group, accounting for 86.4%, is generally believed that excessive drainage system caused by the pinch can be taken,[link widoczny dla zalogowanych], open alternately to increase the liquid fill of people the amount of drainage, where appropriate control 100 ~ 500ml / d. LcDF contraindications: (1) herniation tendencies. (2) in the cerebral aqueduct obstruction. (3) not arterial embolization or occlusion of the subarachnoid hemorrhage. (4) local skin infection. (5) were extremely failure. IJCDF despite years of application, discussion and research, has become more sophisticated neurosurgical treatment, with a strong clinical value, but the tools to research and development lags behind, limiting the clinical application of this technology. Reported from the current domestic perspective, the epidural catheter with a drainage tube,[link widoczny dla zalogowanych], silicone tube, deep venous catheter, needle use is also a wide range, the DF of the special equipment to be further developed. 【
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