CAJ | 학술논문

目的：探讨标准大骨瓣减压联合颞肌切除术治疗大面积脑梗死患者的效果。方法回顾重庆市第三人民医院2006年2月至2012年10月收治的大面积脑梗死患者30例，分为单纯药物治疗组（A组）、标准大骨瓣减压术联合颞肌切除术治疗组（B组）。跟踪随访两组患者死亡数及治疗后的神经功能缺损状况，对比两组患者住院死亡率以及治疗后1个月的神经功能缺损程度评分。结果治疗后，患者中线回复、病死率、痊愈率3个方面，B组优于A组。结论标准大骨瓣减压术联合颞肌切除术治疗可以有效降低患者的病死率。
목적：탐토표준대골판감압연합섭기절제술치료대면적뇌경사환자적효과。방법회고중경시제삼인민의원2006년2월지2012년10월수치적대면적뇌경사환자30례，분위단순약물치료조（A조）、표준대골판감압술연합섭기절제술치료조（B조）。근종수방량조환자사망수급치료후적신경공능결손상황，대비량조환자주원사망솔이급치료후1개월적신경공능결손정도평분。결과치료후，환자중선회복、병사솔、전유솔3개방면，B조우우A조。결론표준대골판감압술연합섭기절제술치료가이유효강저환자적병사솔。
Objective To investigate the standard hemicraniectomy and temporal muscleresection therapeutic in the treatment effect of massive cerebral infarction patients .Methods Looking back at my hospital from February 2006 to October 2012 massive cerebral infarction patients ,30 cases were divided into two groups ,namely simple drug treatment(group A) ,the standard hemicrani-ectomy combined temporal muscleresection treatment (group B) .Followed up two groups of patients and deaths neurological deficit situation after treatment ,compared two groups of patients in hospital mortality and one month after treatment ,neurological impair-ment score .Results After treatment ,the patient midline reply ,mortality ,cure rates three aspects ,group B than the group A .Con-clusion Standard hemicraniectomy combined temporal muscle resection in the treatment can reduce the mortality rate of patients w ith active .