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标准创伤去骨瓣减压术后患者不同时期并发症的临床研究

Clinical study on complications in patients with standard decompressive craniectomy in different stages
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摘要 目的探讨标准创伤去骨瓣减压术后患者不同时期并发症的发生情况。方法选取广丰区人民医院2016年5月—2017年5月收治的100例颅脑创伤后行去骨瓣减压术患者作为研究对象,对术前GCS评分、影像学资料、并发症类型及出现时间等相关指标进行分析,观察创伤去骨瓣减压术后不同并发症的出现时间及处理方法。结果 100例患者住院期间有18例(18.00%)死亡,74例(74.00%)好转出院;100例患者中,32例(32.00%)发生早期并发症,44例(44.00%)发生中期并发症,24例(24.00%)发生晚期并发症。结论颅脑创伤后行去骨瓣减压术术后并发症以中期较为高发,临床治疗时应尽可能注意并发症的发生并尽早采取措施干预,以降低患者病死率。 Objective To investigate the complications in patients with standard decompressive craniectomy in different stages.Methods 100 patients with craniocerebral trauma received decompressive craniectomy in Guangeng district people's hospital from May 2016 to May 2017 were selected as research object.The preoperative GCS score,imaging data,types of complications and occurrence time were analyzed.The occurrence time and management of complications after decompressive craniectomy were observed.Results Among 100 cases of patients,there were 18 cases(18.00%) of death,74 cases(74.00%) of discharge during hospitalization;Among 100 cases of patients,there were 32 cases(32.00%) of early complications,44 cases(44.00%) of mid-term complications,24 cases(24.00%) of late complications.Conclusion 100 cases of patients with complications after standard decompressive craniectomy are taken as the research object,and mid-term complications occur frequently.In clinical treatment,complications should be paid attention and early intervened,so as to decrease the mortality rate of patients.
作者 林卫军 姜克林 洪伟 Lin Weijun Jiang Kelin Hong Wei(The People's Hospital in Guangfeng District, Shangrao, Jiangxi 334600 The Shangrao Ping'an Hospital,Shangrao Jiangxi 334000 The Chinese Medicine Hospital in Shangrao County, Shangrao,Jiangxi 334100)
出处 《基层医学论坛》 2017年第26期3478-3479,共2页 The Medical Forum
基金 上饶市科技指导计划项目(20171CZD14)
关键词 脑损伤 去骨瓣减压术 术后并发症 不同时期 Cerebral injury Decompressive craniectomy Postoperative complications Different stages
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