CAJ | 학술논문

目的：探讨早期应用C T动态监测对急性脑外伤手术时机选择的指导价值。方法选取我院2011-01-2013-01收治的98例急性脑外伤患者为研究对象。按照入院顺序随机分为观察组50例与对照组48例，观察组患者应用C T动态监测方法监测出现迟发性血肿手术，对照组患者应用CT检测后马上手术。对比2组治疗效果及手术后并发症发生情况。结果观察组治疗后存活率显著高于对照组，差异有统计学意义（P＜0·05）。观察组手术后并发症发生率低于对照组，差异有统计学意义（P＜0·05）。结论早期CT动态监测为急性脑外伤患者的手术时机的选择提供重要依据，临床具有推广作用。
목적：탐토조기응용C T동태감측대급성뇌외상수술시궤선택적지도개치。방법선취아원2011-01-2013-01수치적98례급성뇌외상환자위연구대상。안조입원순서수궤분위관찰조50례여대조조48례，관찰조환자응용C T동태감측방법감측출현지발성혈종수술，대조조환자응용CT검측후마상수술。대비2조치료효과급수술후병발증발생정황。결과관찰조치료후존활솔현저고우대조조，차이유통계학의의（P＜0·05）。관찰조수술후병발증발생솔저우대조조，차이유통계학의의（P＜0·05）。결론조기CT동태감측위급성뇌외상환자적수술시궤적선택제공중요의거，림상구유추엄작용。
Objective To investigate the instruction value of early-stage CT dynamic monitoring for operation opportunity selection of patients with acute cerebral injury·Methods 98 patients with acute cerebral injury admitted in our hospital from January 2011 to January 2013 were randomly divided into the observation group (n=50) and control group (n=48)· CT dy-namic monitoring method was applied to find out delayed hematoma and then received operation in the observation group· The control group immediately received operation after CT detection· The clinical curative effect and complications of two groups af-ter operation were compared·Results Compared with the control group ,there were higher survival rate and lower complica-tions in the observation group ,which had astatistical significance (P<0·05)·Conclusion Early-stage CT dynamic monitoring provides important basis for operation opportunity selection of patients with acute cerebral injury ,which is worthy of applica-t ion.