论文部分内容阅读
目的探讨阶梯减压策略在去骨瓣减压术治疗重、特重度颅脑损伤的应用价值。方法收集2013年1月至2015年9月重、特重度颅脑损伤患者41例,采用阶梯减压的去骨瓣减压术式治疗,统计术中急性脑膨出发生率、术后再出血发生率、平均手术时间、和术后6个月预后情况。结果 41例患者发生术中急性脑膨出发生4例(9.76%),术后再出血发生3例(7.32%),平均手术时间(4.246±1.219)h,术后6个月预后良好18例(43.90%),预后不良23例(56.10%)。结论阶梯减压策略治疗重度、特重度颅脑损伤患者,在不增加总的手术时间的情况下,可以降低患者术中急性脑膨出、术后再出血的发生率,改善预后,适合临床使用。
Objective To investigate the value of decompression reduction in the treatment of severe and severe craniocerebral trauma in cataract decompression. Methods From January 2013 to September 2015, 41 patients with severe or severe traumatic brain injury were enrolled in this study. They were treated by decompressive decompressive craniectomy with decompressive craniectomy. The incidences of acute encephalocele and postoperative hemorrhage Incidence, mean operative time, and prognosis at 6 months postoperatively. Results There were 4 cases (9.76%) of acute intracerebral hemorrhage occurred in 41 cases, 3 cases (7.32%) of postoperative hemorrhage occurred, the average operation time was (4.246 ± 1.219) h, the prognosis was good in 6 months after operation (43.90%) and 23 patients (56.10%) with poor prognosis. Conclusion Stairway decompression strategy in patients with severe or severe craniocerebral injury can reduce the incidence of acute intracerebral edema and postoperative hemorrhage and improve prognosis in patients without increasing the total operation time and is suitable for clinical use .