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目的探讨顶枕着力所致双额脑挫裂伤的临床特点与治疗方法。方法分析57例患者临床资料,31例急症开颅去骨瓣减压手术,26例行非手术治疗。结果恢复良好35例,中残7例,重残5例,死亡10例。在非手术治疗期间因病情恶化中转手术12例,其中5例为突发脑疝后紧急开颅。结论顶枕着力双额脑挫裂伤的病情易出现突变,去骨瓣减压、解除颅内高压是改善预后的关键。
Objective To investigate the clinical features and treatment of double forehead contusion and laceration caused by maxillary force. Methods Clinical data of 57 patients were analyzed, 31 cases of acute craniotomy decompression surgery, 26 cases of non-surgical treatment. Results Good recovery in 35 cases, 7 cases of disability, severe disability in 5 cases, 10 cases of death. During the non-surgical treatment due to worsening transit disease in 12 cases, of which 5 cases of emergency craniotomy after sudden hernia. Conclusions It is easy to have sudden changes of the contusion and laceration of the frontal ligament. The decompression of the bony flap and the release of intracranial hypertension are the keys to improve the prognosis.