摘要
目的探讨重型颅脑外伤术后发生脑梗死的临床表现及治疗效果。方法重型颅脑外伤术后脑梗死患者24例,随机分为观察组与对照组各12例,观察组采取标准大骨瓣开颅减压术,对照组采取常规骨瓣减压术,术后均辅以扩容、脱水、抗感染、营养神经及早期配合高压氧等综合治疗,比较两组疗效。结果按格拉斯哥预后分级标准,观察组有效率66.7%,对照组有效率25.0%,两组比较差异有统计学意义(P<0.01)。结论对重型颅脑外伤术后脑梗死患者应早期诊断,早期治疗,及时采取标准大骨瓣开颅减压术,可有效改善预后。
Objective To study the clinical manifestation and the therapeutic effect of severe craniocerebral trauma postoperative cerebral infarction. Methods 24 patients with severe craniocerebral trauma postoperative cerebral infarction were randomly divided into observation group of 12 cases and control group of 12 cases, the observation group adopted standard big bone flap craniotomy decompression, the control group adopted conventional bone flap decompression procedure, all patients were given postoperative comprehensive treatment such as expansion, dehydration, anti-infection, nerve nutrition and early hyperbaric oxygen, compare the curative effect of two groups. Results According to GOS standards, the effective rate of the observation group was 66.7%, the effective rate of the control group was 25.0%, there was significant difference （P 〈 0.01）. Conclusion Patients with severe craniocerebral trauma postoperative cerebral infarction should be diagnosed and treated, take timely standard big bone flap craniotomy decompression can effectively improve the prognosis.
出处
《中国医药科学》
2013年第10期171-172,共2页
China Medicine And Pharmacy
关键词
重型颅脑外伤
术后
脑梗死
临床症状
治疗措施
Severe craniocerebral trauma
Postoperation
Cerebral infarction
Clinical symptoms
Treatmentmeasures
