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典型文献
A simple and successful treatment for rupture and defect of the posterior third superior sagittal sinus caused by open depressed skull fracture: A case report
文献摘要:
It is extremely dangerous to treat the posterior third of the superior sagittal sinus (PTSSS) surgically, since it is usually not completely ligated. In this report, the authors described the case of a 27-year-old man with a ruptured and defective PTSSS caused by an open depressed skull fracture, which was treated by ligation of the PTSSS and the patient achieved a positive recovery. The patient's occiput was hit by a height-limiting rod and was in a mild coma. A CT scan showed an open depressed skull fracture overlying the PTSSS and a diffuse brain swelling. He underwent emergency surgery. When the skull fragments were removed, a 4 cm segment of the superior sagittal sinus (SSS) and the adjacent dura mater were removed together with bone fragments. Haemorrhage occurred and blood pressure dropped. We completed the operation by ligating the severed ends of the fractured sagittal sinus. One month after the operation, apart from visual field defects, he recovered well. In our opinion, in primary hospitals, when patients with severely injured PTSSS cannot sustain a long-time and complicated operation, e.g., the bypass using venous graft, and face life-threatening conditions, ligation of the PTSSS is another option, which may unexpectedly achieve good results.
文献关键词:
Depressed skull fracture;Superior sagittal sinus;Ligation;Prognoses
作者姓名:
Wang Geng-Huan;Shen He-Ping;Chu Zheng-Min;Shen Jian-Guo;Shen Jian
作者机构:
Department of Neurosurgery, The Second Affiliated Hospital of Jiaxing University, Jiaxing, 314000, Zhejiang Province, China
引用格式:
[1]Wang Geng-Huan;Shen He-Ping;Chu Zheng-Min;Shen Jian-Guo;Shen Jian-.A simple and successful treatment for rupture and defect of the posterior third superior sagittal sinus caused by open depressed skull fracture: A case report)[J].中华创伤杂志(英文版),2022(02):115-117
A类:
PTSSS,Haemorrhage,Prognoses
B类:
simple,successful,treatment,posterior,third,superior,sagittal,sinus,caused,open,depressed,skull,case,report,It,extremely,dangerous,surgically,since,usually,completely,ligated,In,this,authors,described,year,old,man,ruptured,defective,which,was,treated,ligation,achieved,positive,recovery,occiput,hit,height,limiting,rod,mild,coma,scan,showed,overlying,diffuse,brain,swelling,He,underwent,emergency,surgery,When,fragments,were,removed,segment,adjacent,dura,mater,together,bone,occurred,blood,pressure,dropped,We,completed,operation,ligating,severed,ends,fractured,One,month,after,apart,from,visual,field,defects,recovered,our,opinion,primary,hospitals,when,patients,severely,injured,cannot,sustain,long,complicated,bypass,using,venous,graft,face,life,threatening,conditions,another,option,may,unexpectedly,good,results,Depressed,Superior,Ligation
AB值:
0.565796
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