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手术治疗外伤性大面积脑梗死14例 被引量:5

Surgical management for traumatic great cerebral infarction
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摘要 目的:探讨外伤性大面积脑梗死的手术治疗方法及疗效。方法:对14例外伤性大面积脑梗死的手术时机、术式、疗效进行分析。其中5例外减压;9例行内、外减压。结果:14例患者全部存活,功能均有不同程度恢复。结论:减压术是治疗外伤性大面积脑梗死的重要救命措施,但要把握手术时机和术式。 Objective:To explore the methods and curative effect of operative treatment for traumatic great cerebral infarction.Methods:Operative opportunity,methods and curative effect of14patients with traumatic great cerebral infarction were analyzed.External decompression was performed on all of the14patients.In addition,9of themreceived internal decompression.Results:All of the14patients survived and their neural functions recovered to some different extent.Conclusion:Surgical decompression is a life-saving maneuver for treating the traumatic great cerebral infarction,but it is important to grasp the opportunity and select the suitable operative method.The patients whose dilated pupils can contract temporarily after preoperative reinforced dehydration may have better prognosis
出处 《现代医药卫生》 2005年第10期1198-1199,共2页 Journal of Modern Medicine & Health
关键词 外伤性大面积脑梗死 手术治疗方法 手术时机 不同程度 外减压 减压术 疗效 术式 患者 Traumatic cerebral infarction Surgical decompression Prognosis
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参考文献4

  • 1Rieke K,Schwab S,Krieger D,et al.Decompressive surgery in space- occupying hemispheric infarction:result of an open prospective trial[J].Crit Care Med,1995,23(9):1576.
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二级参考文献4

  • 1袁成林,张衡忠,张卫中,张宪.大面积脑梗塞并发脑疝经手术抢救成功1例报告[J]临床神经病学杂志,1992(02).
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