中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
32期
9-10
,共2页
王一平%孟永博%王晓勇%颜扬
王一平%孟永博%王曉勇%顏颺
왕일평%맹영박%왕효용%안양
无中线移位%重型颅脑外伤%急性弥漫性脑肿胀%危险因素
無中線移位%重型顱腦外傷%急性瀰漫性腦腫脹%危險因素
무중선이위%중형로뇌외상%급성미만성뇌종창%위험인소
Without midline shift%Severe craniocerebral injury%Acute diffuse brain swelling%Risk factors
目的:分析无中线移位的重型颅脑外伤急性弥漫性脑肿胀的危险因素并探究手术治疗方法具有的临床应用价值。方法150例无中线移位的重型颅脑外伤急性弥漫性脑肿胀患者为研究对象,按照收治时间分为对照组与研究组,各75例,对照组采取保守治疗;研究组采取手术治疗,对比两组患者临床治疗效果并分析相应危险因素。结果无中线移位的重型颅脑外伤急性弥漫性脑肿胀的危险因素有受伤至入院时间、既往史及合并多发伤;研究组临床治疗效果明显优于对照组,差异具有统计学意义(P<0.05)。结论无中线移位的重型颅脑外伤急性弥漫性脑肿胀的危险因素主要包括受伤至入院时间、既往史及合并多发伤。开展积极的手术治疗能够显著提高患者生存率并改善预后。
目的:分析無中線移位的重型顱腦外傷急性瀰漫性腦腫脹的危險因素併探究手術治療方法具有的臨床應用價值。方法150例無中線移位的重型顱腦外傷急性瀰漫性腦腫脹患者為研究對象,按照收治時間分為對照組與研究組,各75例,對照組採取保守治療;研究組採取手術治療,對比兩組患者臨床治療效果併分析相應危險因素。結果無中線移位的重型顱腦外傷急性瀰漫性腦腫脹的危險因素有受傷至入院時間、既往史及閤併多髮傷;研究組臨床治療效果明顯優于對照組,差異具有統計學意義(P<0.05)。結論無中線移位的重型顱腦外傷急性瀰漫性腦腫脹的危險因素主要包括受傷至入院時間、既往史及閤併多髮傷。開展積極的手術治療能夠顯著提高患者生存率併改善預後。
목적:분석무중선이위적중형로뇌외상급성미만성뇌종창적위험인소병탐구수술치료방법구유적림상응용개치。방법150례무중선이위적중형로뇌외상급성미만성뇌종창환자위연구대상,안조수치시간분위대조조여연구조,각75례,대조조채취보수치료;연구조채취수술치료,대비량조환자림상치료효과병분석상응위험인소。결과무중선이위적중형로뇌외상급성미만성뇌종창적위험인소유수상지입원시간、기왕사급합병다발상;연구조림상치료효과명현우우대조조,차이구유통계학의의(P<0.05)。결론무중선이위적중형로뇌외상급성미만성뇌종창적위험인소주요포괄수상지입원시간、기왕사급합병다발상。개전적겁적수술치료능구현저제고환자생존솔병개선예후。
Objective To analysis the risk factors of severe craniocerebral injury acute diffuse brain swelling without midline shift, and to explore the clinical application value of the surgical treatment strategy. Methods A total of 150 patients of severe craniocerebral injury acute diffuse brain swelling without midline shift were selected as study subjects, and they were divided into control group and research group according to admission time, with 75 cases in each group. The control group received conservative treatment, and the research group underwent surgical treatment. The curative effects were compared between the two groups to analyze the related risk factors. Results The risk factors of severe craniocerebral injury acute diffuse brain swelling without midline shift mainly included the time gap between injury and admission, past medical history, and multiple injuries. The curative effect of the research group was remarkably better than that of the control group, and the difference between the two groups had statistical significance (P<0.05). Conclusion The risk factors of severe craniocerebral injury acute diffuse brain swelling without midline shift mainly included the time gap between injury and admission, past medical history, and multiple injuries. Active treatment by surgery can significantly increase the survival rate and improve prognosis.