CAJ | 학술논문

目的：分析标准大骨瓣减压治疗重型颅脑损伤的临床效果。方法：对78例重型颅脑损伤(格拉斯哥昏迷评分≤8分)患者采用标准大骨瓣开颅术减压，术后6个月，根据格拉斯哥预后评定标准对其进行评定，并观察其并发症。结果：术后出现迟发血肿9例，切口脑脊液漏2例，对侧硬膜下积液5例，肺部感染3例，癫痫1例。术后6个月78例均获得随访，恢复良好16例，中残17例，重残15例，植物生存12例，病死18例；术后因继发颅内高压而再次手术患者5例。结论：标准大骨瓣减压术是治疗重型颅脑损伤较为理想的手术方式，但术后应密切观察患者的生命特征，出现并发症时要做到早发现早处理。
목적：분석표준대골판감압치료중형로뇌손상적림상효과。방법：대78례중형로뇌손상(격랍사가혼미평분≤8분)환자채용표준대골판개로술감압，술후6개월，근거격랍사가예후평정표준대기진행평정，병관찰기병발증。결과：술후출현지발혈종9례，절구뇌척액루2례，대측경막하적액5례，폐부감염3례，전간1례。술후6개월78례균획득수방，회복량호16례，중잔17례，중잔15례，식물생존12례，병사18례；술후인계발로내고압이재차수술환자5례。결론：표준대골판감압술시치료중형로뇌손상교위이상적수술방식，단술후응밀절관찰환자적생명특정，출현병발증시요주도조발현조처리。
Objective:To analyze the clinical effects of standard mega-bone flap craniotomy decompression in the treatment of severely craniocerebral injury. Methods:Seventy-eight patients with severely craniocerebral injury( Glasgow Coma Scale≤8 points) were treated with standard mega-bone flap craniotomy decompression. The Glasgow Outcome Scale and complications of all patients were observed in 6 months after treatment. Results:The delayed intracranial hematoma in 9 cases, cerebrospinal fluid leakage of incision in 2 cases, bilaterally subdural effusion in 5 cases, lung infection in 3 cases and epilepsy in 1 case were found after operation. All cases were followed up,good recovery in 16 cases,moderate disabilities in 17 cases,severe disabilities in 15 cases,vegetative state in 12 cases and death in 18 cases were verified. Five cases with secondary intracranial pressure were operated again. Conclusions:The standard mega-bone flap craniotomy decompression is an ideal surgical method in treating severely craniocerebral injury. The vital signs of patients after surgery should be closely observed,early detection and treatment of complications are important.