CAJ | 학술논문

目的：探讨双额叶脑挫裂伤所致脑中心疝的抢救与治疗。方法：对68例双额叶脑挫裂伤所致脑中心疝的患者的临床资料进行回顾性分析。结果：对68例双额叶脑挫裂伤并发脑中心疝的患者经治疗后挽救生命55例，死亡13例，间脑期手术效果最好。结论：双额叶脑挫裂伤一旦出现脑中心疝，死亡率或病残率高，应在伤后严密观察病情，监测生命体征，尤其注意瞳孔变小的情况出现，警惕迟发型脑中心疝的发生，间脑期及时手术是提高疗效的关键。
목적：탐토쌍액협뇌좌렬상소치뇌중심산적창구여치료。방법：대68례쌍액협뇌좌렬상소치뇌중심산적환자적림상자료진행회고성분석。결과：대68례쌍액협뇌좌렬상병발뇌중심산적환자경치료후만구생명55례，사망13례，간뇌기수술효과최호。결론：쌍액협뇌좌렬상일단출현뇌중심산，사망솔혹병잔솔고，응재상후엄밀관찰병정，감측생명체정，우기주의동공변소적정황출현，경척지발형뇌중심산적발생，간뇌기급시수술시제고료효적관건。
Objective:To research into the rescue and treatment of brain centre hernia caused by double frontal lobe contusion and lac -eration .Methods:Using analysis of clinical data by looking back on the patients with brain centre hernia caused by double frontal lobe contusion and laceration .Results:55 lives were saved and 13 died after treating the 68 patients with double frontal lobe contusion and laceration.Best treatment appeared in the interval period .Conclusion: Once brain centre hernia appears because of double frontal lobe contusion and laceration of the brain ,the rate of death and disability is high.Close observation should be done ,checking vital signs of life ,especially taking notice of the pupil becoming small and watching out for the occurrence of tardive brain centre hernia and Diencephalons period should be the key period for salvage .