CAJ | 학술논문

目的：探讨双侧开颅术治疗重型颅脑损伤的临床效果。方法选取50例行双侧开颅术治疗的重型颅脑创伤患者作为研究对象，记录患者术后第1天、第3天、第7天的颅内压变化情况，并于术后6个月进行随访，对身体恢复情况进行评分，总结治疗体会。结果术后第1天、第3天、第7天患者的颅内压呈下降趋势。患者中死亡3例，占6.00%；恢复良好24例，占48.00%；中等残疾16例，占32.00%；重度残疾6例，占12.00%；处于植物状态1例，占2.00%。结论对有双侧开颅指征的重型颅脑损伤患者早期进行双侧开颅手术，能有效提高救治效果，降低致残率和死亡率，是救治重型颅脑损伤的有效方法，但需严格把握手术指征和做好围术期工作。
목적：탐토쌍측개로술치료중형로뇌손상적림상효과。방법선취50례행쌍측개로술치료적중형로뇌창상환자작위연구대상，기록환자술후제1천、제3천、제7천적로내압변화정황，병우술후6개월진행수방，대신체회복정황진행평분，총결치료체회。결과술후제1천、제3천、제7천환자적로내압정하강추세。환자중사망3례，점6.00%；회복량호24례，점48.00%；중등잔질16례，점32.00%；중도잔질6례，점12.00%；처우식물상태1례，점2.00%。결론대유쌍측개로지정적중형로뇌손상환자조기진행쌍측개로수술，능유효제고구치효과，강저치잔솔화사망솔，시구치중형로뇌손상적유효방법，단수엄격파악수술지정화주호위술기공작。
Objective To investigate the effect of craniotomy bilateral in treatment of severe traumatic brain injury. Methods Selected 50 patients underwent bilateral craniotomy in treatment of severe brain trauma as research subjects, recorded intracranial pressure changes at the first 1 d, the first 3 d, 7 d after operation, and the follow-up after 6 months, the body recovery scores were compared. Results The intracranial pressure in patients was on a downward trend postoperative 1 d, 3 d, 7 d. Three patients died, accounting for 6.00%;Good recovery in 24 cases, accounting for 48.00%; Moderate disability in 16 cases, accounting for 32.00%; Six cases of severe disability, accounting for 12.00%, in a vegetative state in one case, accounting for 2.00%. Conclusion The bilateral craniotomy should be used early on severe traumatic brain injury patients with bilateral craniotomy indications, it can effectively improve the treatment effect, reduce morbidity and mortality, treatment of severe traumatic brain injury is an effective method, but need to strictly control surgical indications and perioperative good job.