首页|重型颅脑损伤去大骨瓣减压术后迟发性颅内血肿病例分析

重型颅脑损伤去大骨瓣减压术后迟发性颅内血肿病例分析

扫码查看
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。
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.

heavy craniocerebral injurygo to the big bone flap decompressionnon- surgical areadelayed intracranial hematomareoperationreview of skul CT and prognosis

杨立行、甘朝敏、舒竟、寸守逵、张红强、蔡德强、李志奇、刘东、陈丽松

展开 >

云南省腾冲县人民医院神经外科679100

重型颅脑损伤 去大骨瓣减压术 非手术区 迟发性颅内血肿 再次手术 复查头颅CT 预后

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(5)
  • 4