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目的:探讨急性硬膜下血肿合并脑疝的临床治疗疗效。方法:选取2015年3月至2016年3月在我院接受治疗的60例急性硬膜下血肿合并脑疝的患者为研究对象,观察患者的治疗结果,及患者对治疗的满意度。结果:治疗后,观察组的50例患者中,恢复良好39例、重度伤残3例、中度伤残5例、植物生存状态2例为、死亡1例。结论:治疗急性硬膜下血肿合并脑疝的关键为及时降低颅内压,标准外伤大骨瓣开颅术,不仅可有效减压并止血,而且彻底清除血肿及挫裂伤脑组织,手术效果显著,非常值得在临床得到推广应用。
Objective: To investigate the clinical effect of acute subdural hematoma complicated with cerebral hernia. Methods: From March 2015 to March 2016 in our hospital for treatment of 60 cases of acute subdural hematoma complicated with cerebral hernia in patients as the research object, observe the patient’s treatment results, and patient satisfaction with the treatment. Results: Among the 50 patients in the observation group, 39 cases were recovered well, 3 cases were severe disability, 5 cases were moderate disability, 2 cases were plant survival state and 1 case died. Conclusion: The key to the treatment of acute subdural hematoma complicated with cerebral hernia is to reduce the intracranial pressure in time. The standard craniotomy can not only effectively decompress and stop the bleeding, but also completely eliminate the hematoma and contusion and laceration of the brain. Significantly, it is well worth promoting in clinical application.