CAJ | 학술논문

目的：分析重度颅脑外伤脑疝的临床特点，探讨较为有效救治措施，降低患者死亡率，提高其存活质量。方法：回顾性分析我院神经外科自2009年5月～2014年5月收治378例重度颅脑外伤脑疝患者救治疗效。结果：本组378例中存活283例（74．8％），死亡95例（25．1％），存活患者随访半年～1年，根据格拉斯哥预后评分（GOS），恢复良好162例（57．2％），中残64例（22．6％），重残41例（14．5％），植物生存16例（5．6％）。结论：重度颅脑外伤脑疝患者致残率、死亡率均较高，重视院前急救，及早手术解除脑疝，积极防治并发症及后期康复治疗，可以提高患者存活率及改善预后。
목적：분석중도로뇌외상뇌산적림상특점，탐토교위유효구치조시，강저환자사망솔，제고기존활질량。방법：회고성분석아원신경외과자2009년5월～2014년5월수치378례중도로뇌외상뇌산환자구치료효。결과：본조378례중존활283례（74．8％），사망95례（25．1％），존활환자수방반년～1년，근거격랍사가예후평분（GOS），회복량호162례（57．2％），중잔64례（22．6％），중잔41례（14．5％），식물생존16례（5．6％）。결론：중도로뇌외상뇌산환자치잔솔、사망솔균교고，중시원전급구，급조수술해제뇌산，적겁방치병발증급후기강복치료，가이제고환자존활솔급개선예후。
Objective:To study the clinical features of Severe Traumatic Cerebral Hernia ( STCH)and approach a more effective ther-apy to reduce the mortality and improve the quality of life .Mtehods:Retrospective studies the therapeutic effectiveness of 378 STCH pa-tients in our neurosurgery department from May 2009 to May 2014.Results:Survival:283 cases(74.8%) ,follow-up period 0.5 years -1years;death 95 cases (25.1%).According to the Glasgow outcome score (GOS):good recovery 162cases (57.2%), moderate disabil-ity 64 cases (22.6%), severe disability 41 cases (14.5%), vegetative state 16 cases (5.6%).Conclusion:Considering the high disa-bility rate and mortality of STCH, effective measure including taking pre-hospital emergency serious, relieving traumatic cerebral by sur-gery in time, adopting active measures to the complications and rehabilitation should be taken to improve survival rate and prognosis.