摘要
目的：探讨重型颅脑损伤患者行去大骨瓣减压术后迟发性颅内血肿的原因、治疗方法、预防措施，提高重型颅脑损伤患者抢救成功率，改善其预后。方法：回顾性分析我科既往治疗的17例行一侧去大骨瓣减压术后再发颅内出血的病例的抢救过程及预后。结果：本组17例患者中恢复良好11例，中残2例，重残1例，植物生存1例，死亡2例。结论：颅脑损伤患者术后迟发性颅内血肿是影响患者预后，导致重型颅脑损伤患者死、残的重要因素。提前预防、早期发现、及时治疗能明显改善患者预后。
Abstract
Objective:To explore the cause,delayed intracranialhematomainjuries were treated bydecompressive craniectomyafter severe braintreatment,preventive measures,improve the success rate of resuscitationof patients with severe craniocerebral injury,improve the prognosis.Methods:To review therescue process andprognosis of recurrentintracranial hemorrhagecasesin our departmentofanalysis-previously treated17 cases of unilateraldecompressive craniectomyafter.Results:11 cases got good recoveryin 17 cases of this groupof pa-tients,moderate disability in 2 cases,severe disability in 1 cases,plant survival of 1 cases,2 cases of death.Conclusion:traumatic brain injury-patients with postoperativedelayed intracranialhematomaisan important factoraffects the prognosis of patients,resulting inpatients with se-vere craniocerebral injurydeath,disability.Early prevention,early detection,timelytreatment can significantlyimprove the prognosis of the patients.
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