摘要
目的探讨经额颞顶枕超大骨瓣减压治疗特重型颅脑损伤致双瞳散大患者的治疗效果。方法对26例特重型颅脑损伤患者术前出现双侧瞳孔散大，选择经额颞顶枕超大骨瓣减压，并与江基尧介绍的美国标准大骨瓣减压进行比较分析。结果26例中9例术后1周内死亡，2例2-3个月后死亡，余15例神志逐渐清醒，最长58d，最短15d，平均26．6d，10例良好，5例重残。结论经额颞顶枕超大骨瓣减压比标准大骨瓣减压更充分，更有利于对损伤的处理，可有效提高治愈率。
Objective To study the modified large craniotomy for decompression of frontal, parietal, temporal and occipital lobes for the treatment of patients with severe brain injury with bilateral mydriasis. Methods Modified large eraniotomy for decompression of frontal, parietal, temporal and occipital lobes were performed in 26 patients of severe brain injury with bilateral mydriasis before surgery. This method was compared and analyzed with the American standard large trauma eraniotomy introduced by JIANG Ji - yao. Results 9 patients died after 1 week,2 died after 2 - 3 weeks, and the last 15 were awake gradually. In the 15 cases, the longest was awake after 58 days and the shortest was after 15 days. The average duration was 26. 6 days. 10 cases were recovered well, 5 were severe disability. Conclusion The modified large eraniotomy for decompression of frontal, parietal, temporal and occipital lobes is more sufficient and effective than the standard large trauma craniotomy for the treatment of patients with severe brain injury with bilateral mydriasis.
出处
《中华神经外科杂志》
CSCD
北大核心
2012年第2期119-122,共4页
Chinese Journal of Neurosurgery
关键词
颅脑创伤
双瞳散大
去骨瓣减压术
Craniocerebral trauma
Bilateral mydriasis
Decompressive craniectomy
