期刊文献+

170例重型颅脑损伤的临床分析 被引量:9

Clinical analysis of 170 patients with severe craniocerebral injury
下载PDF
导出
摘要 目的 总结重型颅脑损伤患者的救治方法及经验.方法 对我科收治的170例GCS评分3~8分的重型颅脑损伤患者的临床资料进行回顾性分析.结果 170例患者中标准外伤大骨瓣开颅术治疗135例,不需开颅手术17例,呼吸循环衰竭无法耐受手术治疗18例;按格拉斯哥预后评分法(GOS)评定:存活120例,随访6个月,恢复良好40例,中残20例,重残10例;死亡50例,其中术后死亡17例.结论 重型颅脑损伤患者病情危重、并发症多、病死率高,标准外伤大骨瓣开颅术可有效降低颅内压,解除脑疝,综合治疗可提高存活率. Objective To summarize the treatment experience and methods for severe craniocerebral injury. Methods 170 cases of severe craniocerebral injury patients were retrospectively analyzed,whose Glasgow coma scale (GCS) grade between 3 to 8. Results In 170 cases,135 cases were treated by standard large trauma craniotomy,17 cases were treated by non-craniotomy, 18 cases were impossible to tolerance operation due to respiratory and circulatory failure. According to GOS grading system, 120 patients survived after 6 months, good recovery in 4, moderate disability in 20, severe disability in 10 and 50 died including 17 died after operation. Conclusions Patients with severe craniocerebral injury have severe illness, complications and high mortality rate. Standard large trauma craniotomy can effectively reduce the intracranial pressure and cure cerebral hernia, and can improve the survival rate with the comprehensive treatment.
机构地区 解放军
出处 《临床神经外科杂志》 CAS 2013年第6期367-368,共2页 Journal of Clinical Neurosurgery
关键词 标准外伤大骨瓣开颅术 重型颅脑损伤 standard large trauma craniotomy severe craniocerebral injury
  • 相关文献

参考文献6

二级参考文献17

  • 1惠国桢,李向东,周幽心,王之敏,朱凤清,何乃吉,杨学照,周岱,鲍耀东.急性弥漫性脑肿胀[J].中华神经外科杂志,1994,10(5):302-302. 被引量:100
  • 2钟宝,刘万明,杨宜洲,全中平,周波,罗心凯.46例重型颅脑损伤开颅术中急性脑膨出的防治体会[J].中国临床神经外科杂志,2005,10(3):240-240. 被引量:32
  • 3Rowland LP.merritt,s textbook of neurology.7th ed[M].Philadephia:Febiger,1984.277-282.
  • 4Sato M,Tanaka S,Koha ma A,et al.Occipitai lobe infarction caused by tentorial herniation[J].Neurosurgery,1986,18:300.
  • 5刘宗惠,胡威夷译.神经系统疾病定位诊断学[M].第1版.北京:北京海洋出版社,1995.168.
  • 6Photon AL Jr.The cerebral Veins[J].Neurosurgery.2002,51:159.
  • 7涂通今主编.急诊神经外科学[M].第1版.北京:人民军医出版社,1995.106-113.
  • 8Morgenstern LB , Demchuk A M , Kim DH , et al. Re-bleeding leads to poor outcome in ultra-early craniotomy for intracerebral hemorrhage[J].Neurology , 2001, 56(8): 1 294-1 299.
  • 9Becket DP, Gade GF, Young HF. Interaeranial hematoma. In: Youmans JR. Neurological Surge[M]. Philadephia: Saunders , 1990, 3 .2 079.
  • 10王忠城.神经外科学[M].武汉:湖北科学技术出版社,1998.687-690.

共引文献51

同被引文献68

引证文献9

二级引证文献81

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