期刊文献+

开颅减压术治疗重型颅脑创伤的效果研究

Effect analysis of decompressive craniotomy in treatment of severe craniocerebral trauma
下载PDF
导出
摘要 目的探讨开颅减压术在治疗重型颅脑创伤中的效果。方法回顾性分析2010年1月~2013年1月来我院就诊的重型颅脑创伤患者75例,按照骨窗大小的不同,分为治疗组和对照组,比较两组患者的治疗效果及并发症。结果治疗组术后GCS评分明显高于对照组,两组比较均有显著性差异(P〈0.05)。两组并发症的发生率分别为:27.50%、65.71%,差异有统计学意义(P〈0.05)。结论开颅减压术,在治疗重型颅脑创伤尤其是一些特重型的颅脑损伤者,能显著提高治愈率,减少由于继发颅内高压而导致再次进行手术的概率。 Objective To investigate the effect of decompressive craniotomy in the treatment of severe craniocerebral trauma. Methods Seventy-five patients with severe craniocerebral trauma who were treated in our hospital from January 2010 to January 2013 were analyzed retrospectively and divided into the treatment group and the control group according to the bone window size. The treatment effect and complications of the 2 groups were compared. Results The treatment group had higher GCS score than the control group, with significant differences between the two groups (P 〈 0.05). The incidences of complications of the two groups were 27.50% and 65.71% respectively,with significant difference (P 〈 0.05). Conclusion In the treatment of severe craniocerebral trauma especially some particularly severe craniocerebral injury, decompressive craniotomy can significantly improve the cure rate and reduce the probability of secondary intracranial hypertension induced re-surgery.
作者 宋言文 丁浩
出处 《中国医药科学》 2013年第21期202-203,共2页 China Medicine And Pharmacy
关键词 开颅减压术 重型颅脑创伤 Decompressive craniotomy Severe craniocerebral trauma
  • 相关文献

参考文献6

二级参考文献31

  • 1江基尧.介绍一种美国临床常用颅脑外伤标准大骨瓣开颅术[J].中华神经外科杂志,1998,14(6):381-383.
  • 2Jiang JY,Gao GY,Li WP,et al. Early indicators of prognosis in 846 of severe traumatic brain injury [J]. Neurotruma,2002,19 (7):869-874.
  • 3Lee HJ,Mark C,Meredith A,et al. Outcome after decom pressive craniectomy for the treatment of severe traumatic brain injury [J]. Jour- nal of Trauma-Injury Infection & Critical Care, 2008,65 (2) : 380-386.
  • 4Huang X,Wen L. Technical considerations in decom pressive craniecto- my in the treatment of traumatic brain injury [J]. Int Med Sci,2010,7 (6) :385-390.
  • 5Aarabi B, Hesdorffer DC,Simard JM,et al. Comparative study of decom pressive cranieetomy after mass lesion evacuation in severe head injury [J]. Neurosurgery, 2009,64 (5) : 927-940.
  • 6Munch E,Hom P,Schurer L,et al. Management of severe traumatic brain injury by decom pressive craniotomy [J]. Neuro-surgery,2000,47 (2):315.
  • 7Teasdale G,Jennett B. Assessment of coma and impaired consciousness. A practical Scale [J]. Lancet, 1974,2(7872):81-84.
  • 8江基尧.介绍一种国外临床常用的标准外伤大骨瓣开颅术.中华神经外科杂志,1998,14(7):381-381.
  • 9王忠诚.神经外科学[M].武汉:湖北科学技术出版社,2005.620-621.
  • 10Becker DP,Gade GF,Miller JD.Prognosis after head.In:YonmansJR.eds.Neurological Surgery[M].Philadephia:Saunders,1990:2194-229.

共引文献545

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