临床医学
臨床醫學
림상의학
CLINICAL MEDICINE
2009年
2期
4-5
,共2页
双侧额叶脑挫裂伤%诊断%治疗
雙側額葉腦挫裂傷%診斷%治療
쌍측액협뇌좌렬상%진단%치료
Bruise of bilateral frontal lobes%Diagnosis%Treatment
目的 探讨双侧额叶脑挫裂伤的诊断与治疗.方法 对24例双侧额叶脑挫裂伤患者的临床资料进行回顾性分析.结果 随访半年,根据GOS预后评分,良好17例(70.84%),中残3例(12.50%),重残1例(4.16%),死亡3例(12.50%). 结论双侧额叶脑挫裂伤患者应密切注意其意识、瞳孔、生命体征变化,动态观测颅脑CT改变,综合考虑治疗方案,有手术指征时及时行手术.
目的 探討雙側額葉腦挫裂傷的診斷與治療.方法 對24例雙側額葉腦挫裂傷患者的臨床資料進行迴顧性分析.結果 隨訪半年,根據GOS預後評分,良好17例(70.84%),中殘3例(12.50%),重殘1例(4.16%),死亡3例(12.50%). 結論雙側額葉腦挫裂傷患者應密切註意其意識、瞳孔、生命體徵變化,動態觀測顱腦CT改變,綜閤攷慮治療方案,有手術指徵時及時行手術.
목적 탐토쌍측액협뇌좌렬상적진단여치료.방법 대24례쌍측액협뇌좌렬상환자적림상자료진행회고성분석.결과 수방반년,근거GOS예후평분,량호17례(70.84%),중잔3례(12.50%),중잔1례(4.16%),사망3례(12.50%). 결론쌍측액협뇌좌렬상환자응밀절주의기의식、동공、생명체정변화,동태관측로뇌CT개변,종합고필치료방안,유수술지정시급시행수술.
Objective To summarize the experiences in diagnosis and treatment for the patients with bruise of bilateral frontal lobes.Methods Twenty-four cases with bruise of bilateral frontal lobes were retrospectively analyzed.Results All cases were followed up for half a year,according to GOS classification,17 cases gained the excellent recovered,3 cases were suffered from moderate disability,1 case got severe disability,3 cases died.Conclusion More attention should be paid to the patients with bruise of bilateral frontal lobes.During the therapeutic process,their life sings,consciousness and pupils should be monitored.Cerebral computerized tomography (CT) should be counterchecked dynamically.Those with operative standards should be operated immediately.
