中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
11期
1611-1612
,共2页
颅脑损伤%脑疝%神经外科手术
顱腦損傷%腦疝%神經外科手術
로뇌손상%뇌산%신경외과수술
Craniocerebral trauma%Encephalocele%Neurosurgical procedures
目的 探讨双额叶重度脑挫裂伤并发中央型脑疝的手术治疗.方法 48例双额叶重度脑挫裂伤并发中央型脑疝患者,根据CT结果及临床表现,选择手术时机,应用单侧去骨瓣减压术或双侧去骨瓣减压术治疗.结果 术后随访1年,存活42例,死亡6例；根据GCS评分评价疗效:良好18例(37.5％),轻残16 例(33.3％),重残5例(10.4％),植物生存3例(6.3％),死亡6例(12.5％).结论 双侧额叶重度脑挫伤患者病情进展快,尽早诊治可有效改善患者预后.
目的 探討雙額葉重度腦挫裂傷併髮中央型腦疝的手術治療.方法 48例雙額葉重度腦挫裂傷併髮中央型腦疝患者,根據CT結果及臨床錶現,選擇手術時機,應用單側去骨瓣減壓術或雙側去骨瓣減壓術治療.結果 術後隨訪1年,存活42例,死亡6例；根據GCS評分評價療效:良好18例(37.5％),輕殘16 例(33.3％),重殘5例(10.4％),植物生存3例(6.3％),死亡6例(12.5％).結論 雙側額葉重度腦挫傷患者病情進展快,儘早診治可有效改善患者預後.
목적 탐토쌍액협중도뇌좌렬상병발중앙형뇌산적수술치료.방법 48례쌍액협중도뇌좌렬상병발중앙형뇌산환자,근거CT결과급림상표현,선택수술시궤,응용단측거골판감압술혹쌍측거골판감압술치료.결과 술후수방1년,존활42례,사망6례；근거GCS평분평개료효:량호18례(37.5％),경잔16 례(33.3％),중잔5례(10.4％),식물생존3례(6.3％),사망6례(12.5％).결론 쌍측액협중도뇌좌상환자병정진전쾌,진조진치가유효개선환자예후.
Objective To discuss the surgery for the patients with bruise of bilateral frontal lobes complicated with central encephalocele.Methods 48 patients diagnosed as bruise of bilateral frontal lobes complicated with central encephalocele were analyzed retrospectively.According to the results of CT and clinical symptoms,timing of surgery was selected.All patients were given unilateral decompressive craniectomy or bilateral decompressive craniectomy.Results All patients were followed up for 1 year.42 cases survived,while 6 cases died.All cases were estimated with GCS:18 cases ( 37.5％ ) were cured excellently,16 cases ( 33.3％ ) were mild morbidity,5 cases ( 10.4％ ) were severe morbidity,3 cases ( 6.3％ ) were in persistent vegetative state and 6 cases ( 12.5％ ) were dead.Conclusion The progression of patients with bruise of bilateral frontal lobes comphcated with central encephalocele were rapid.Diagnosis and treatment at the early stage could improve patients' prognosis.
