期刊文献+

急性重型颅脑损伤患者的手术治疗 被引量:3

Operative treatment on patients with acute severe craniocerebral injury
下载PDF
导出
摘要 目的 研究急性重型颅脑损伤患者的手术治疗方法及疗效.方法 选择2005年1月~2012年12月人住本院的42例急性重型颅脑损伤患者,将其分为观察组和对照组各21例,对照组采用常规治疗,观察组在常规治疗基础上给予标准大骨瓣减压术治疗,观察两组患者的临床疗效.结果 观察组患者的治愈率(57.14%)高于对照组(23.81%),死亡率(19.05%)低于对照组(47.62%),并发症发生率(28.57%)低于对照组(66.67%),两组差异有统计学意义(P<0.05).结论 标准大骨瓣减压术治疗急性重型颅脑损伤具有良好的临床疗效,并发症少,可以作为治疗急性重型颅脑损伤的首选方法. Objective To study the surgical method and effect on patients with acute severe craniocerebral injury. Methods 42 patients with acute severe craniocerebral injury admitted into our hospital from January 2005 to Decem- ber 2012 were selected and evenly divided into observation group and control group,21 cases in each group.In the control group,patients were provided with conventional treatment,while in the observation group,on the basis of the control group,the standard large hemicraniectomy was added.The curative effects in both groups were observed.Results The cure rate and mortality rate in the observation group were 57.14% and 19.05%,which were remarkably superior to those in the control group whose cure rate and mortality rate were 23.81% and 47.62% respectively.Besides,the com- plications occurred in the observation group (28.57%) were fewer compared with those in the control group (66.67%). There were significant differences between two groups (P〈0.05).Conclusion In the treatment of acute severe cranio- cerebral injury,the standard large hemicraniectomy can obtain a favorable clinical effect with few complications,which can be selected as a preferred method.
作者 丁浩明
出处 《中国当代医药》 2013年第26期60-61,共2页 China Modern Medicine
关键词 急性重型颅脑损伤 标准大骨瓣减压术 临床疗效 Acute severe craniocerebral injury Standard large hemicraniectomy Curative effect
  • 相关文献

参考文献11

二级参考文献40

  • 1惠磊,陈善成.双侧去骨瓣减压救治重型颅脑损伤[J].中国医师杂志,2004,6(8):1131-1131. 被引量:14
  • 2刘林林,景文记,梁建荣,程宇宏.颅内血肿脑疝期136例治疗分析[J].中华神经外科杂志,1997,13(3):182-182. 被引量:37
  • 3江基尧.介绍一种美国临床常用的标准外伤大骨瓣开颅术[J].中华神经外科杂志,1998,14:381-381.
  • 4Jeremitsky E,Omert L,Dunham CM,et al.Harbingers of poor outcome the day after severe brain injury:hypothermia,hypoxia,and hypoperfusion[J].J Trauma,2003,54(2):312-319.
  • 5Kilincer C,Asil T,Utku U,et a1.Factors affecting the outcome of decompressive craniectomy for large hemispheric infarctions:a prospective cohort study[J].Acta Neurochir (Wien),2005,147 (6):587-594.
  • 6Qiu W,Zhang Y,Sheng H,et al.Effects of therapeutic mild hypothermia on patients with severe traumatic brain injury after craniotomy[J].J Crit Care,2007,22(3):229-235.
  • 7Jiang JY,Gao GY,Li WP,et al.Early indicators of prognosis in 846 cases of severe traumatic brain injury[J].J Neurotrauma,2002,19(7):869-874.
  • 8Skoglund TS,Eriksson-Ritzen C,Jensen C,et al.Aspects on decompressive craniectomy in patients with traumatic head injuries[J].J Neurotrauma,2006,23(10):1502-1509.
  • 9Chol SC.Chart for outcome prediction in sever head injury[J].JNeurosurg, 2003,59:294.
  • 10Becker DP,Gade GF,Miller JD.Prognosis after head.ln:Yonmans JR.eds. Neurological Surgery[M].Philadephia:Saunders,1990:2194-229.

共引文献67

同被引文献23

引证文献3

二级引证文献23

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部