摘要
目的探讨重型脑伤去骨瓣减压术的治疗时机、手术方法及治疗效果。方法回顾性分析86例重型脑伤（GCS 3～5分30例、6～12分56例）行去骨瓣减压术患者的临床资料,并复习相关文献。结果行单侧去骨瓣减压69例,双侧去骨瓣减压17例;死亡34例,存活52例;出院时GOS预后标准评分良好33例,中残8例,重残7例,植物生存4例。结论去骨瓣减压术可快速有效降低重型脑伤患者的颅内压,并发症少,成活率高,致残率低,是简单、安全的治疗方法,而及时准确地掌握手术时机和技术要点至关重要。
Objective To investigate the time, skill and effect of decompressive craniectomy on acute severe traumatic brain injuries. Methods The clinical data of 86 acute traumatic brain injuries patients （ 30 were in GCS grade 3 - 5 and 56 in GCS grade 6 - 12 ） treated by decompressive cranieetomy were analyzed retrospectively. Results 69 patients were treated by unilateral decompressive eraniectomy, and 17 patients by bilateral deeompressive craniectomy. 34 patients were died. While in 52 survived patients, according to the GOS standard ,33 with good recovery,8 with moderate disablity ,7 with serious disability and 4 were in vegetative state. Conclusion The decompressive craniectomy is an effective, safe and simple technique in patients with acute severe traumatic brain injuries, a
出处
《实用医院临床杂志》
2009年第4期63-64,共2页
Practical Journal of Clinical Medicine
关键词
重型脑伤
去骨瓣减压术
治疗时机
手术方法
疗效
Severe traumatic brain injury
Decompressive craniectomy
Treatment window
Surgical techniques
Outcome
