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目的:探讨标准外伤大骨瓣减压术治疗重型颅脑损伤的临床效果。方法:对随机抽取的采用标准外伤大骨瓣开颅减压术治疗的30例重型颅脑损伤患者观察其治疗效果。结果:按术后半年GOS恢复标准,疗效良好12例,中残8例,重残3例,植物生存3例,死亡4例。结论:标准大骨瓣减压术在重型颅脑损伤救治中效果优于常规去骨瓣开颅术,可明显降低死亡率、致残率。
Objective: To investigate the clinical effect of standard traumatic big bone flap decompression in treating severe craniocerebral injury. Methods: Thirty patients with severe craniocerebral injury who were randomly selected for craniotomy and decompression surgery were observed. Results: According to the GOS recovery standard six months after operation, there were 12 cases with good effect, 8 cases with moderate disability, 3 cases with severe disability, 3 cases of plant survival and 4 cases of death. CONCLUSION: Standard decompressive craniectomy is superior to conventional craniotomy in the treatment of severe craniocerebral injury, which can significantly reduce the mortality and morbidity.