中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
11期
45-47
,共3页
赵刚%王鹏%孙怀宇%毕志刚%张义%崔永飞
趙剛%王鵬%孫懷宇%畢誌剛%張義%崔永飛
조강%왕붕%손부우%필지강%장의%최영비
颅脑损伤%开颅术后%外伤性精神障碍
顱腦損傷%開顱術後%外傷性精神障礙
로뇌손상%개로술후%외상성정신장애
Traumatic brain injury%Craniotomy%Traumatic mental disorders
目的 探讨外伤性精神障碍与脑叶损伤部位的关系及外伤性精神障碍的愈后.方法 通过对200例因颅脑损伤开颅术后出现精神障碍患者的临床资料分析判定外伤性精神障碍与脑叶损伤具体部位的关系及愈后情况.结果 单纯额叶损伤69例,单纯颞叶损伤65例,额、颞叶均损伤56例,合并下丘脑损伤10例,以左侧半球损伤为主占124例,以右侧半球损伤为主占76例.随访至术后6个月:痊愈141例,显著好转29例,好转24例,无效6例.结论 外伤性精神障碍的出现与脑叶损伤部位密切相关,均损伤了人脑的精神活动中枢且通过积极的综合治疗,愈后良好.
目的 探討外傷性精神障礙與腦葉損傷部位的關繫及外傷性精神障礙的愈後.方法 通過對200例因顱腦損傷開顱術後齣現精神障礙患者的臨床資料分析判定外傷性精神障礙與腦葉損傷具體部位的關繫及愈後情況.結果 單純額葉損傷69例,單純顳葉損傷65例,額、顳葉均損傷56例,閤併下丘腦損傷10例,以左側半毬損傷為主佔124例,以右側半毬損傷為主佔76例.隨訪至術後6箇月:痊愈141例,顯著好轉29例,好轉24例,無效6例.結論 外傷性精神障礙的齣現與腦葉損傷部位密切相關,均損傷瞭人腦的精神活動中樞且通過積極的綜閤治療,愈後良好.
목적 탐토외상성정신장애여뇌협손상부위적관계급외상성정신장애적유후.방법 통과대200례인로뇌손상개로술후출현정신장애환자적림상자료분석판정외상성정신장애여뇌협손상구체부위적관계급유후정황.결과 단순액협손상69례,단순섭협손상65례,액、섭협균손상56례,합병하구뇌손상10례,이좌측반구손상위주점124례,이우측반구손상위주점76례.수방지술후6개월:전유141례,현저호전29례,호전24례,무효6례.결론 외상성정신장애적출현여뇌협손상부위밀절상관,균손상료인뇌적정신활동중추차통과적겁적종합치료,유후량호.
Objective To investigate the relationship between traumatic mental disorders and position of brain injury, and the prognosis of mental disorders. Methods By 200 cases clinical data analyses of traumatic brain injury after craniotomy appear mental disorders, to determine the relationship between traumatic mental disorders and position of brain injury and prognosis. Results 69 cases were simple injury of frontal lobe, 65 cases simple injury of temporal lobe, 56 cases were of frontal lobe and temporal lobe, 10 cases were merge hypothalamus, 124 cases were of left hemisphere, 76 cases were of right hemisphere. Followup six months after surgery: 141 cases of recovery, 29 caes of significantly improved, 24 cases were of improved, 6 cases were of invalid. Conclusion The relationship between traumatic mental disorders and position of brain injury were closely related. They damaged the brain of spiritual center and prognosis good by active treatment.