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目的探讨开颅去骨瓣前钻孔减压在急性硬膜下血肿的救治效果。方法对31例急性硬膜下血肿需手术者,采用开颅去骨瓣前先钻孔释放部分硬膜下血肿减压,再形成骨瓣去除骨瓣打开硬膜的方法,对预后进行回顾性分析。结果死亡2例,2例为植物生存;3例重残;轻残及恢复良好者24例。结论采用开颅去骨瓣前钻孔减压可以争取抢救时间,减少并发症,改善预后。
Objective To investigate the effect of craniotomy decompression on the treatment of acute subdural hematoma. Methods Thirty-one cases of acute subdural hematoma were operated on. The craniotomy was used to release part of the subdural hematoma before decompression and then the bone flap was removed to remove the flap to open the dura. The prognosis was retrospectively analyzed analysis. Results: 2 cases died, 2 cases were plant survival, 3 cases were severe disability, 24 cases were mild disability and recovery. Conclusion The craniotomy decompressive craniotomy can strive for rescue time, reduce complications and improve prognosis.