中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
16期
24-26,29
,共4页
重型脑外伤%开颅手术%急性脑膨出%临床处理
重型腦外傷%開顱手術%急性腦膨齣%臨床處理
중형뇌외상%개로수술%급성뇌팽출%림상처리
Severe traumatic brain injury%Craniotomy operation%Acute encephalocele%Clinical treatment
目的：探讨重型脑外伤行开颅手术中发生急性脑膨出的原因及相应的临床处理方法和效果。方法回顾性分析本院2005年12月~2014年12月收治的49例重型脑外伤行开颅手术中发生急性脑膨出患者的临床资料,按照处理方法分为对照组(脑组织切除减压法,24例)和观察组(功能性和介入减压法,25例)。观察两组的死亡情况和死亡患者术后存活天数等,并进行比较。结果对照组和观察组的死亡率分别为83.33%(20/24)和48.00%(12/25),观察组显著低于对照组(P<0.05)；在死亡患者术后存活天数方面,观察组和对照组分别为(6.35±0.58)d和(1.52±0.35)d,观察组显著长于对照组(P<0.05)。结论对重型脑外伤行开颅手术中发生急性脑膨出的患者,实施功能性和介入减压法处理可以获得更好的临床效果。
目的：探討重型腦外傷行開顱手術中髮生急性腦膨齣的原因及相應的臨床處理方法和效果。方法迴顧性分析本院2005年12月~2014年12月收治的49例重型腦外傷行開顱手術中髮生急性腦膨齣患者的臨床資料,按照處理方法分為對照組(腦組織切除減壓法,24例)和觀察組(功能性和介入減壓法,25例)。觀察兩組的死亡情況和死亡患者術後存活天數等,併進行比較。結果對照組和觀察組的死亡率分彆為83.33%(20/24)和48.00%(12/25),觀察組顯著低于對照組(P<0.05)；在死亡患者術後存活天數方麵,觀察組和對照組分彆為(6.35±0.58)d和(1.52±0.35)d,觀察組顯著長于對照組(P<0.05)。結論對重型腦外傷行開顱手術中髮生急性腦膨齣的患者,實施功能性和介入減壓法處理可以穫得更好的臨床效果。
목적：탐토중형뇌외상행개로수술중발생급성뇌팽출적원인급상응적림상처리방법화효과。방법회고성분석본원2005년12월~2014년12월수치적49례중형뇌외상행개로수술중발생급성뇌팽출환자적림상자료,안조처리방법분위대조조(뇌조직절제감압법,24례)화관찰조(공능성화개입감압법,25례)。관찰량조적사망정황화사망환자술후존활천수등,병진행비교。결과대조조화관찰조적사망솔분별위83.33%(20/24)화48.00%(12/25),관찰조현저저우대조조(P<0.05)；재사망환자술후존활천수방면,관찰조화대조조분별위(6.35±0.58)d화(1.52±0.35)d,관찰조현저장우대조조(P<0.05)。결론대중형뇌외상행개로수술중발생급성뇌팽출적환자,실시공능성화개입감압법처리가이획득경호적림상효과。
Objective To explore the reason and the corresponding clinical treatment methods and effects of acute cere-bral swelling occurred in severe traumatic brain injury underwent craniotomy operation. Methods A retrospective anal-ysis was performed on clinical data of patients with acute encephalocele occurred in 49 cases of severe traumatic brain injury underwent craniotomy operation in our hospital from December 2005 to December 2014,and they were divided into the control group (brain tissue resection and decompression, 24 cases) and the observation group (functional and interventional decompression,25 cases)according to processing method. Death and the death of patients with postoper-ative survival time of the two groups were observed and compared. Results Mortality of the control group and the ob-servation group were 83.33%(20/24)and 48%(12/25)respectively,the observation group was significantly lower than the control group(P<0.05);the survival time of death after operation of the observation group and the control group re-spectively were (6.35±0.58) d and (1.52±0.35) d, the observation group was significantly longer than control group(P<0.05). Conclusion It can get better clinical effect of implementation of functional and interventional treatment of decompression method on patient with acute cerebral swelling occurred in severe traumatic brain injury underwent craniotomy operation.
