CAJ | 학술논문

目的分析总结脑外伤所致硬膜下血肿的临床特点及手术方式.方法选取2011年11月至2013年8月在商丘市第一人民医院接受脑外伤致硬膜下血肿治疗的68例患者,根据患者的病情选择合适的手术方式,手术治疗后对其进行随访,总结治疗效果并进行分析.结果本组68例患者中存活64例,存活率为94.12％;死亡4例,病死率为5.89％.本组患者的病死率高于相关文献报道的病死率.对患者进行6～ 12个月的随访,有1例患者失访,其他患者均有不同程度的恢复.结论手术前根据患者的临床表现对硬膜下血肿的症状进行分析,制定符合患者病情特点的治疗方案,可有效提高治疗效果.
목적 분석총결뇌외상소치경막하혈종적림상특점급수술방식.방법 선취2011년11월지2013년8월재상구시제일인민의원접수뇌외상치경막하혈종치료적68례환자,근거환자적병정선택합괄적수술방식,수술치료후대기진행수방,총결치료효과병진행분석.결과 본조68례환자중존활64례,존활솔위94.12％;사망4례,병사솔위5.89％.본조환자적병사솔고우상관문헌보도적병사솔.대환자진행6～ 12개월적수방,유1례환자실방,기타환자균유불동정도적회복.결론 수술전근거환자적림상표현대경막하혈종적증상진행분석,제정부합환자병정특점적치료방안,가유효제고치료효과.
Objective To analyze and summarize the clinical features and surgical options of subdural hematoma caused by brain trauma.Methods Sixty-eight patients with subdural hematoma caused by brain trauma from November 2011 to August 2013 were selected,patients were given the appropriate surgical approach according to their condition,the followed-up was taken after surgery,the therapeutic effects were summarized and analyzed.Results Among the 68 patients,64 patients survived,the survival rate was 94.12％ ; 4 cases died,the mortality rate was 5.89％.The mortality rate in this group of patients was higher than that reported in the literature related.With the 6-12 months' followed-up,1 patient had lost,and the rest patients had varying degrees of recovery.Conclusions Analyze the symptoms of subdural hematoma according to patients' clinical manifestations before operation,a treatment plan in line with the characteristics of the patient's condition,can effectively improve the therapeutic effect.