中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
13期
1746-1747
,共2页
血肿,硬膜外,颅内%脑疝%颅骨切开术
血腫,硬膜外,顱內%腦疝%顱骨切開術
혈종,경막외,로내%뇌산%로골절개술
Hematoma,epidural,cranial%Encephalocele%Craniotomy
目的 总结急性硬脑膜外血肿手术治疗疗效.方法 对67例单纯急性硬脑膜外血肿手术病例(合并颅骨骨折)的临床资料进行回顾性分析.结果 死亡3例,术后昏迷大于1个月6例,术后出院随访,ADL评分(FIM)6～7分49例;4～5分9例;2～3分4例;1分1例.结论 急性硬脑膜外血肿的及时发现与疗效正相关,应尽早手术.对于GCS 3分的患者单纯去除骨瓣对预后影响有限.
目的 總結急性硬腦膜外血腫手術治療療效.方法 對67例單純急性硬腦膜外血腫手術病例(閤併顱骨骨摺)的臨床資料進行迴顧性分析.結果 死亡3例,術後昏迷大于1箇月6例,術後齣院隨訪,ADL評分(FIM)6～7分49例;4～5分9例;2～3分4例;1分1例.結論 急性硬腦膜外血腫的及時髮現與療效正相關,應儘早手術.對于GCS 3分的患者單純去除骨瓣對預後影響有限.
목적 총결급성경뇌막외혈종수술치료료효.방법 대67례단순급성경뇌막외혈종수술병례(합병로골골절)적림상자료진행회고성분석.결과 사망3례,술후혼미대우1개월6례,술후출원수방,ADL평분(FIM)6～7분49례;4～5분9례;2～3분4례;1분1례.결론 급성경뇌막외혈종적급시발현여료효정상관,응진조수술.대우GCS 3분적환자단순거제골판대예후영향유한.
Objective To summarize efficacy of surgical treatment of acute extradural hematoma. Methods The clinical data of 67 acute extradural hematoma(combined skull fracture) surgery cases were retrospectively analyzed from January 2006 to December 2009. Results Cerebral hernia and the time from the formation of cerebral hernia to operation affacted the prognosis of acute extradural hematoma severely. It was controversial that removal of skull bone or not after cerebral hernia. Conclusions The timely diagnosis and operation of acute extradural hematoma was positive correlation to the prognosis. The simple removal of skull bone impacted limitedly on the prognosis of patients with GCS 3.
