CAJ | 학술논문

目的通过对11例高龄重型颅脑外伤患者手术效果的分析,验证采取开颅手术的可行性和高效性.方法根据病历记录整理在上海市第六人民医院接受治疗的重型颅脑外伤患者11例,年龄均在70岁以上,入院时,无其他较为严重的内科疾病.患者入院后2 d内,均进行了颅脑开颅手术,同时进行了减压和缝合处理,并快速切开气管.结果 11例接受颅脑开颅手术的患者,术后并发症主要以肺感染以及上消化道出血为主,手术后要注意做好相应的检查和预防,11例手术后无死亡病例.结论针对高龄重型颅脑外伤患者的治疗可以考虑采用颅脑开颅手术,手术具有明显疗效,且可防止二次脑损伤情况的出现,建议在临床治疗中推广.
목적통과대11례고령중형로뇌외상환자수술효과적분석,험증채취개로수술적가행성화고효성.방법근거병력기록정리재상해시제륙인민의원접수치료적중형로뇌외상환자11례,년령균재70세이상,입원시,무기타교위엄중적내과질병.환자입원후2 d내,균진행료로뇌개로수술,동시진행료감압화봉합처리,병쾌속절개기관.결과 11례접수로뇌개로수술적환자,술후병발증주요이폐감염이급상소화도출혈위주,수술후요주의주호상응적검사화예방,11례수술후무사망병례.결론침대고령중형로뇌외상환자적치료가이고필채용로뇌개로수술,수술구유명현료효,차가방지이차뇌손상정황적출현,건의재림상치료중추엄.
Objective To discuss the feasibility and efficiency of craniotomy through analyzing the effect of craniotomy in aged patients with severe craniocerebral trauma in Shanghai No.6 People's Hospital.Method According to the medical records,the data from 11 cases of patients with severe craniocerebral trauma,their average ages were beyond 70 years old,were sorted and analyzed.Within two days after the admission,all patients received the craniocerebral craniotomy,at the same time,they were given the decompression and suture treatment,and the tracheotomy.Results The analysis of the data from 11 patients who received craniotomy showed that the primary postoperative complications were lung infection and upper gastrointestinal hemorrhage,and 11 patients survived,suggesting that more attention should be paid to the relevant examination and prevention after the surgery.Conclusion For the aged patients with severe craniocerebral trauma,the craniocerebral craniotomy could be considered to be a choice for them,and according to the data and documents,the surgery has showed obviously curative effect and may prevent the secondary brain damage,suggesting that the surgery may be popularized in the clinical treatment.