摘要
目的总结与探讨外伤后弥漫性脑肿胀致脑疝的围手术期治疗方法,进一步提高本病的治疗效果。方法回顾分析70例外伤后弥漫性脑损伤致脑疝的围手术期相关治疗和预后。结果根据GOS评估,70例患者中44例预后较好,其中良好37例,中度致残7例;26例预后较差,重度致残6例,植物生存5例,死亡15例。结论对外伤后弥漫性脑肿胀致脑疝患者采用围手术期的综合治疗,提高了治疗效果,是值得推广应用的较好方法。
Objective To summarize and discuss the therapy of patients with tentorial herniation due to post - traumatic acute diffuse brain swelling around operations to improve the therapeutic efficacy. Methods A retrospective study was accomplished on 70 patients with tentorial herniation due to post - traumatic acute diffuse brain swellin around operations. Results According to Glasgow outcome scale, 44 of 70 cases got favorable outcome, including 37 cases good recovery and 7 cases moderate deficit. The 26 of 70 cases got unfavorable outcome, including 6 cases severe deficit, 5 cases persistent vegetable status and 15 cases dead. Conclusions This comprehensive therapy improves the efficacy of patients with tentorial herniation due to post -traumatic acute diffuse brain swelling around operations, which is worth spreading and applying.
出处
《中国医师杂志》
CAS
2005年第12期1635-1637,共3页
Journal of Chinese Physician
关键词
外伤后弥漫性脑肿胀
围手术期
综合治疗
脑疝
脑膜补片
手术治疗
Post- traumatic acute diffuse brain swelling
Tentorial herniation
Around operations
Comprehensive therapy
