CAJ | 학술논문

目的:探讨对冲性前额叶底部脑挫裂伤动态复查头颅CT的时间及手术指征的把握.方法:对69例对冲性额叶底部脑挫裂伤患者临床资料进行回顾性分析.结果:治愈36例,中残14例,重残9例,死亡10例.结论:前额叶底部脑挫裂伤患者入院时多数病人意识障碍程度相对较轻,但在救治过程中病情发展多变,动态复查头颅CT,血肿有进展或挫裂伤周围水肿范围扩大明显者,尽早手术清除坏死脑组织、去骨瓣减压,可有效提高患者的治愈率.
목적:탐토대충성전액협저부뇌좌렬상동태복사두로CT적시간급수술지정적파악.방법:대69례대충성액협저부뇌좌렬상환자림상자료진행회고성분석.결과:치유36례,중잔14례,중잔9례,사망10례.결론:전액협저부뇌좌렬상환자입원시다수병인의식장애정도상대교경,단재구치과정중병정발전다변,동태복사두로CT,혈종유진전혹좌렬상주위수종범위확대명현자,진조수술청제배사뇌조직、거골판감압,가유효제고환자적치유솔.
Objective: To explore the time-grasping of dynamic review CT in contre-coup lesion bottome-prefrontal lobe cerebral contusion and laceration, and the grasping of the operation pointer. Method:69 patients with contre-coup lesion bottome-prefrontal lobe cerebral contusion and laceration were enrolled in our hospital, data from patients' clinical records were analysed restrospectively. Result: Among the 69 patients,36 patients were cured,14 patients were moderate disability,9 patients were severe disability, 10 patients were dead. Conclusion: Most of the patients' unconscionsness were mildly when taken to hospital.But during the treatment, the clinical symptoms and signs were always changing. We could monitor the extending of the intracranial hematoma and brain edema rage by dynamic review. Do operation to clean up the damage brain tissue and decompress craniectomy once the patients' condition become worse can effectively increase the success rate of curing.