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时间:2017-12-07
《60例重症颅脑外伤患者开颅手术的临床分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、2013年12月第20卷第34期·临床研究·60例重症颅脑外伤患者开颅手术的临床分析刘练湖南省娄底市中心医院,湖南娄底417000【摘要】目的分析开颅手术治疗重症颅脑外伤患者的临床效果。方法选取2009年4月~2012年1O月来本院接受治疗的60例重型颅脑外伤患者作为研究对象,实施大骨瓣开颅手术进行治疗,观察并比较手术前后患者格拉斯哥昏迷评分(GCS),同时对手术临床疗效及并发症发生情况进行评价。结果治疗前患者GCS为(5.42~1.44)分,治疗后为(12.57~3.75)分,治疗前后GCS差异
2、有统计学意义(P3、patientswithseverecraniocerebraltraumaLIULionLoudiCentralHospitalinHunanProvince,Loudi417000,China【Abstract】ObjectiveToanalyzetheclinicaleffectofcraniotomyinthetreatmentofseverecraniocerebraltrauma.Methods60patientswithcriticalcraniocerebraltraumaadmi4、ttedintoourhospitalfromApril2009toOctober2012wereselectedasresearchobjects.Allpatientswereappliedwithlargecraniectomy.Theglasgowcomascale(GCS)be-foreandaftersurgerywasobservedandcomparedaswellastheevaluationsofclinicaleffectandcomplications.Re-suitsAf5、tersurgery,theGCSwasincreasedto(12.57~3.75)pointwhilebeforetreatmentitwas(5.42~1.44)point,therewasstatisticaldifferenceinGCSbe~reandaftertreatmentP<0.05).Thepostoperativesurvivalratereachedupto90.0%.Inaspectofpostoperativecomplications,7casespresented6、withhydrocephalus,4caseswithcerebrospinalfluidleak,3caseswithencephaloceleand1casewithothercomplication.ConclusionApplicationoflargecraniectomyinthetreatmentofseverecraniocerebraltraumacanobtainaremarkableclinicaleffect.ItcangreatlyimprovepatientSsurv7、ivalrateandreducetheincidenceofcomplicationssimuhaneously,whichisanoptimummethodtotreatseverecraniocerebraltraumaandiswoahyofexpansioninclinic.【Keywords]Severecraniocerebra1trauma;Craniotomy;Clinicalanalysis脑震荡、颅骨骨折、颅内出血以及头皮损伤等均称为因致伤5例;受伤至入院接受治疗时间为20m8、in~8h,平均颅脑外伤,是由直接或间接的外界暴力原因(高空坠落、车(3.2+1.3)h;格拉斯哥昏迷评分(GCS)为(5.42~1.44)分,其祸、碰撞等)造成的头部损伤的总称ll】,其主要临床表现有中3~6分52例,7~8分8例:双侧瞳孔放大17例.单侧瞳意识模糊、混乱、恶心呕吐、头昏、头痛、神经功能缺损等[21。孔放大43例;39例患者出现脑疝。颅脑损伤类型:闭合性因为重症颅脑外伤具有发病急、病情严重等特点,因此,其损伤37例,开放性损伤23例;颅骨骨折19例.脑挫伤合死亡率
3、patientswithseverecraniocerebraltraumaLIULionLoudiCentralHospitalinHunanProvince,Loudi417000,China【Abstract】ObjectiveToanalyzetheclinicaleffectofcraniotomyinthetreatmentofseverecraniocerebraltrauma.Methods60patientswithcriticalcraniocerebraltraumaadmi
4、ttedintoourhospitalfromApril2009toOctober2012wereselectedasresearchobjects.Allpatientswereappliedwithlargecraniectomy.Theglasgowcomascale(GCS)be-foreandaftersurgerywasobservedandcomparedaswellastheevaluationsofclinicaleffectandcomplications.Re-suitsAf
5、tersurgery,theGCSwasincreasedto(12.57~3.75)pointwhilebeforetreatmentitwas(5.42~1.44)point,therewasstatisticaldifferenceinGCSbe~reandaftertreatmentP<0.05).Thepostoperativesurvivalratereachedupto90.0%.Inaspectofpostoperativecomplications,7casespresented
6、withhydrocephalus,4caseswithcerebrospinalfluidleak,3caseswithencephaloceleand1casewithothercomplication.ConclusionApplicationoflargecraniectomyinthetreatmentofseverecraniocerebraltraumacanobtainaremarkableclinicaleffect.ItcangreatlyimprovepatientSsurv
7、ivalrateandreducetheincidenceofcomplicationssimuhaneously,whichisanoptimummethodtotreatseverecraniocerebraltraumaandiswoahyofexpansioninclinic.【Keywords]Severecraniocerebra1trauma;Craniotomy;Clinicalanalysis脑震荡、颅骨骨折、颅内出血以及头皮损伤等均称为因致伤5例;受伤至入院接受治疗时间为20m
8、in~8h,平均颅脑外伤,是由直接或间接的外界暴力原因(高空坠落、车(3.2+1.3)h;格拉斯哥昏迷评分(GCS)为(5.42~1.44)分,其祸、碰撞等)造成的头部损伤的总称ll】,其主要临床表现有中3~6分52例,7~8分8例:双侧瞳孔放大17例.单侧瞳意识模糊、混乱、恶心呕吐、头昏、头痛、神经功能缺损等[21。孔放大43例;39例患者出现脑疝。颅脑损伤类型:闭合性因为重症颅脑外伤具有发病急、病情严重等特点,因此,其损伤37例,开放性损伤23例;颅骨骨折19例.脑挫伤合死亡率
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