CAJ | 학술논문

目的：研究颅脑损伤术中出现远隔血肿的检查及处理方法。方法研究大连大学附属中山医院神经外科2008年1月-2012年12月期间，36例颅脑损伤出现术中远隔血肿患者既往病例资料。结果36例患者，按格拉斯哥预后评分（GOS）评价预后效果：术后患者死亡4例，存活32例，出院后进行9个月的随访，其中恢复良好17例，轻度残疾10例，重度残疾5例。结论术中清除颅内占位、充分减压、降低颅内压及术后减少脑缺血、缺氧等是预防及治疗术中远隔血肿的有效方法。
목적：연구로뇌손상술중출현원격혈종적검사급처리방법。방법연구대련대학부속중산의원신경외과2008년1월-2012년12월기간，36례로뇌손상출현술중원격혈종환자기왕병례자료。결과36례환자，안격랍사가예후평분（GOS）평개예후효과：술후환자사망4례，존활32례，출원후진행9개월적수방，기중회복량호17례，경도잔질10례，중도잔질5례。결론술중청제로내점위、충분감압、강저로내압급술후감소뇌결혈、결양등시예방급치료술중원격혈종적유효방법。
Objective To study the methods of detection and treatment for distant hematoma during the craniocerebral injury op-eration. Methods The clinical data of 36 cases of patients, who had distant hematoma during the craniocerebral injury operation in Department of Neurosurgery of Affiliated Zhongshan Hospital of Dalian University from January, 2008 to December, 2012 were ana-lyzed retrospectively. Results The prognostic effect of the 36 patients was evaluated by the Glasgow Outcome Score (GOS):4 patients died after surgery, 32 cases survived. 9 months follow-up was given to the patients after they discharged from the hospital, there were 17 cases with good recovery, 10 cases with mild disability and 5 cases with severe disability. Conclusion During the craniocerebral injury operation, clearing intracranial space-occupying lesions, full decompression, reducing intracranial pressure and postoperative cerebral ischemia and hypoxia are effective measures for preventing and treating intraoperative distant hematoma.