中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
23期
18-20
,共3页
脑疝%颅脑损伤%高冠状开颅
腦疝%顱腦損傷%高冠狀開顱
뇌산%로뇌손상%고관상개로
Encephalocele%Craniocerebral trauma%High coronary craniotomy
目的 探讨脑中心疝的临床特点及高冠状开颅双侧均衡减压的手术疗效.方法 回顾性分析26例脑中心疝患者的诊疗和预后.分析高冠状开颅双侧均衡减压手术方法的有效性,以及影响脑中心疝患者预后的因素.结果 术后6个月格拉斯哥预后量表(GOS)评分,良好5例,中残6例,重残4例,植物生存3例,死亡8例.结论 高冠状开颅、及时的双侧均衡有效减压是抢救脑中心疝的重要手段.伤后1h内即发生脑中心疝者预后不良.大于75岁发生脑中心疝者预后不良.
目的 探討腦中心疝的臨床特點及高冠狀開顱雙側均衡減壓的手術療效.方法 迴顧性分析26例腦中心疝患者的診療和預後.分析高冠狀開顱雙側均衡減壓手術方法的有效性,以及影響腦中心疝患者預後的因素.結果 術後6箇月格拉斯哥預後量錶(GOS)評分,良好5例,中殘6例,重殘4例,植物生存3例,死亡8例.結論 高冠狀開顱、及時的雙側均衡有效減壓是搶救腦中心疝的重要手段.傷後1h內即髮生腦中心疝者預後不良.大于75歲髮生腦中心疝者預後不良.
목적 탐토뇌중심산적림상특점급고관상개로쌍측균형감압적수술료효.방법 회고성분석26례뇌중심산환자적진료화예후.분석고관상개로쌍측균형감압수술방법적유효성,이급영향뇌중심산환자예후적인소.결과 술후6개월격랍사가예후량표(GOS)평분,량호5례,중잔6례,중잔4례,식물생존3례,사망8례.결론 고관상개로、급시적쌍측균형유효감압시창구뇌중심산적중요수단.상후1h내즉발생뇌중심산자예후불량.대우75세발생뇌중심산자예후불량.
Objective To investigate the clinical characteristics of the patients with central brain herniation,and the operation effect of high coronary craniotomy for bilateral decompressive craniectomy.Methods A retrospective analysis was conducted on 26 cases of central brain herniation.The effectiveness of high coronary craniotomy for bilateral decompressive craniectomy and the influential factor of prognosis in patients with central brain herniation were analyzed.Results According to the Glasgow outcome score (GOS) 6 months after operation,5 cases were recovered well,6 cases moderately disabled,4 cases severely disabled,3 cases vegetative survived and 8 cases died.Conclusions High coronary craniotomy and timely and effective bilateral decompressive craniectomy are the most important treatment in patients with central brain herniation.The prognosis is unfavourable prognosis in patients with central brain herniation within 1 h after injury and older than 75 years old.
