Clinical analysis of 18 coma patients with occult cerebrospinal fluid rhinorrhea after tracheotomy in severe traumatic brain injury
10.3760/cma.j.issn.1008-6706.2015.06.034
- VernacularTitle:重型颅脑损伤气管切开昏迷患者合并隐匿性脑脊液鼻漏18例临床分析
- Author:
Yunjiang CAO
;
Min DUAN
;
Yongqiang LI
;
Bao CHEN
;
Haijie JI
;
Jun LI
;
Xin WANG
- Publication Type:Journal Article
- Keywords:
Coaniocerebral injury;
Coma;
Tracheotomy;
Occult;
Cerebrospinal fluid rhinorrhea
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(6):897-898,899
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical feature ,diagnosis and treatment of the occult cerebrospinal fluid rhinorrhea after tracheotomy in patients with severe traumatic brain injury .Methods The clinical data of 18 cases of the occult cerebrospinal fluid rhinorrhea after tracheotomy in patients with severe traumatic brain injury were retro -spectively analyzed .Results 15 cases showed involuntary swallowing movements ,frequent stimulus-likecough, abnormal increased secretions in the oral and nasal;3 cases performance of aspiration ,hypoxemia ,respiratory distress . After a three -dimensional thin skull CT , cisternography , nasal endoscopic examination can confirm the diagnosis . After the treatment with replacing the tracheostomy tube with a balloon ,continuous lumbar drainage ,endoscopic repair leak,the cerebrospinal fluid rhinorrhea were cured .Conclusion Patients with occult cerebrospinal fluid rhinorrhea performance the diversity and easily missed ,early detection and timely treatment can prevent cerebrospinal fluid rhi-norrhea delayed healing and intracranial infection and promote patient recovery .
