摘要
目的:探讨标准大骨瓣减压治疗重型颅脑损伤的效果。方法:回顾性分析33例重型颅脑损伤患者采用标准大骨瓣减压术治疗的临床资料。结果:本组33例患者,术后随访3～12个月,平均6个月,按GCS法评估预后:良好12例(36.4%),中残6例(18.2%),重残4例(12.1%),植物生存3例(9.1%),死亡8例(24.2%)。结论:标准大骨瓣开颅减压术在治疗重型颅脑损伤中有良好的效果,能有效降低颅内压,改善预后。
Objective. To investigate the effect of the standard large craniotomy on treating patients with severe traumatic brain injury. Methods： Clinical data of 33 patients with severe traumatic brain injury treated with the standard targe craniotomy were retrospectively analyzed. Results. Follow-up had been conducted for 3 to 12 month with the average of 6 months for the 33 patients. The prognosis evaluation of the all the patients was performed according to the GCS method, 12 eases gained good effect （36.4%）, 6 eases were moderately disabled（18.2%）, 4 eases were severely disabled （12.1%）, 3 were plant survival （9.1%）, and 8 eases died （24.2%）. Conclusion： The standard large trauma eraniotomy has good effect on the treatment of severe traumatic brain injuries, it can effectively reduce the intracranial pressures and improve the prognoses.
出处
《华夏医学》
CAS
2013年第3期507-509,共3页
Acta Medicinae Sinica
关键词
颅脑损伤
标准大骨瓣
减压术
craniocerebral injury
standard large trauma craniotomy
decompression
