CAJ | 학술논문

目的：初步探讨创伤性颅内异物的特点及救治。方法：回顾分析我院2006年1月～2013年12月间收治的13例创伤性颅内异物患者的临床资料及救治过程。结果：13例患者全部行头颅CT检查，均行手术治疗；1例“隐匿型”颅内异物行开颅探查证实为腐烂木质异物。共取出异物14块；术后颅内感染2例；1例合并严重肺挫伤患者死亡。结论：创伤性颅内异物伤情严重，病情各异。术前准备要充分，完善CT等检查；根据每个患者的实际情况制定治疗方案，术后预防感染、抗癫痫等并发症。
목적：초보탐토창상성로내이물적특점급구치。방법：회고분석아원2006년1월～2013년12월간수치적13례창상성로내이물환자적림상자료급구치과정。결과：13례환자전부행두로CT검사，균행수술치료；1례“은닉형”로내이물행개로탐사증실위부란목질이물。공취출이물14괴；술후로내감염2례；1례합병엄중폐좌상환자사망。결론：창상성로내이물상정엄중，병정각이。술전준비요충분，완선CT등검사；근거매개환자적실제정황제정치료방안，술후예방감염、항전간등병발증。
Objective: To preliminarily investigate the attributes of transcranial embodded foreign objects and the treatment approaches .Methods:The clinical data and treatment procedures were retrospectively examined in 13 cases with craniocerebral trauma caused by foreign object undergone treatment in our hospital between January 2006 and December 2013.Results:The toal 13 patients underwent CT scans and surgical intervention.One case with con-cealed foreign object was confirmed by craniotomy as injury by decayed wooden matters ,and 14 pieces of foreign objects were removed .Postoperative in-tracranial infection occurred in 2 cases,and one died due to complication of severe pulmonary contusion .Conclusion:Craniocerebral trauma with embedded foreign object can be serious and the conditions may vary.CT scan is important prior to operation.In addition,the treatment option shall be individualized to the real condition.After procedure,prevention of the intracranial infection and anti-epilepsy is recommended.