摘要
目的探讨大骨瓣减压术治疗重型颅脑外伤的临床疗效。方法 76例重型颅脑外伤患者均行大骨瓣减压术治疗,并按格拉斯哥预后分级(GCS)判断预后。结果经治疗后76例患者存活61例,均进行随访,其中恢复良好34例,中残15例,植物生存8例,重残4例,死亡15例,死亡率19.7%;GCS 3～5分死亡9例,6～8分死亡6例。结论早期彻底的大骨瓣减压术可以明显改善重型颅脑外伤患者的预后,提高疗效,降低病死率及伤残率。
Objective To explore the clinical treatment of severe traumatic brain injury patients with Hemicraniectomy.Methods Totally 76 cases of severe head injuries outside the line of hemicraniectomy per treatment,according to Glasgow Outcome Classification（GCS） prognosis.Results 76 patients survived after treatment,61 cases were followed up,of which 34 cases of good recovery,moderate disability in 15 cases,the survival of plants in 8 cases,4 cases of severe disability,death in 15 cases,mortality 19.7%;GCS 3~5 of death 9 cases,6~8 of decth 6 cases.Conclusions Early hemicraniectomy thoroughly can improve the prognosis of patients with severe head trauma,improve the efficacy and reduce mortality and disability rates.
出处
《医药论坛杂志》
2011年第3期27-28,共2页
Journal of Medical Forum
