中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2012年
2期
119-122
,共4页
袁从华%吴良发%惠小波%王经发%孙宇%顾翔%王海伟%陈加成
袁從華%吳良髮%惠小波%王經髮%孫宇%顧翔%王海偉%陳加成
원종화%오량발%혜소파%왕경발%손우%고상%왕해위%진가성
颅脑创伤%双瞳散大%去骨瓣减压术
顱腦創傷%雙瞳散大%去骨瓣減壓術
로뇌창상%쌍동산대%거골판감압술
Craniocerebral trauma%Bilateral mydriasis%Decompressive craniectomy
目的 探讨经额颞顶枕超大骨瓣减压治疗特重型颅脑损伤致双瞳散大患者的治疗效果.方法 对26例特重型颅脑损伤患者术前出现双侧瞳孔散大,选择经额颞顶枕超大骨瓣减压,并与江基尧介绍的美国标准大骨瓣减压进行比较分析.结果 26例中9例术后1周内死亡,2例2-3个月后死亡,余15例神志逐渐清醒,最长58 d,最短15 d,平均26.6 d,10例良好,5例重残.结论 经额颞顶枕超大骨瓣减压比标准大骨瓣减压更充分,更有利于对损伤的处理,可有效提高治愈率.
目的 探討經額顳頂枕超大骨瓣減壓治療特重型顱腦損傷緻雙瞳散大患者的治療效果.方法 對26例特重型顱腦損傷患者術前齣現雙側瞳孔散大,選擇經額顳頂枕超大骨瓣減壓,併與江基堯介紹的美國標準大骨瓣減壓進行比較分析.結果 26例中9例術後1週內死亡,2例2-3箇月後死亡,餘15例神誌逐漸清醒,最長58 d,最短15 d,平均26.6 d,10例良好,5例重殘.結論 經額顳頂枕超大骨瓣減壓比標準大骨瓣減壓更充分,更有利于對損傷的處理,可有效提高治愈率.
목적 탐토경액섭정침초대골판감압치료특중형로뇌손상치쌍동산대환자적치료효과.방법 대26례특중형로뇌손상환자술전출현쌍측동공산대,선택경액섭정침초대골판감압,병여강기요개소적미국표준대골판감압진행비교분석.결과 26례중9례술후1주내사망,2례2-3개월후사망,여15례신지축점청성,최장58 d,최단15 d,평균26.6 d,10례량호,5례중잔.결론 경액섭정침초대골판감압비표준대골판감압경충분,경유리우대손상적처리,가유효제고치유솔.
Objective To study the modified large craniotomy for decompression of frontal,parietal,temporal and occipital lobes for the treatment of patients with severe brain injury with bilateral mydriasis.Methods Modified large craniotomy for decompression of frontal,parietal,temporal and occipital lobes were performed in 26 patients of severe brain injury with bilateral mydriasis before surgery.This method was compared and analyzed with the American standard large trauma craniotomy introduced by JIANG Ji -yao.Results 9 patients died after 1 week,2 died after 2 -3 weeks,and the last 15 were awake gradually.In the 15 cases,the longest was awake after 58 days and the shortest was after 15 days. The average duration was 26.6 days.10 cases were recovered well,5 were severe disability.Conclusion The modified large craniotomy for decompression of frontal,parietal,temporal and occipital lobes is more sufficient and effective than the standard large trauma craniotomy for the treatment of patients with severe brain injury with bilateral mydriasis.
