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开颅标准大骨瓣治疗重型颅脑损伤的探讨

Discussion on standard big bone flap craniotomy in the treatment of severe craniocerebral injury Shenyang Emergency Center Lifeng

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目的:探讨标准化大骨瓣减压术治疗重型颅脑损伤的临床疗效。方法:回顾分析2000年1月至2002年12月重型颅脑损伤51例常规去骨瓣手术治疗组,2010年1月至2012年12月重型颅脑损伤55例标准化大骨瓣开颅减压术治疗共106例的临床资料。结果:出院时按GOS分级,标准组55例中,GOS Ⅰ级11例,Ⅱ-Ⅲ级15例,Ⅳ-Ⅴ级29例,常规组51例中,GOS Ⅰ级17例,Ⅱ-Ⅲ级19例,Ⅳ-Ⅴ级15例,两组间存在GOS评级统计学差异。结论:标准大骨瓣减压术是治疗重型颅脑损伤的有效方法。
Objective: To investigate the clinical effect of standard large trauma craniotomy in the treatment of severe craniocerebral injury.Methods: 51 cases of routine craniectomy operation treatment group analysis of 2000 January to 2002 severe craniocerebral injury in De cember, clinical data of 55 cases of standard large trauma craniotomy in treatment of 106 cases of 2010 January to 2012 December in severe craniocerebral injury. Results: according to GOS classification standard of discharge, 55 cases, 11 cases of GOS Ⅰ,Ⅱ- 15 cases in grade Ⅲ, Ⅳ-Ⅴ29 cases, control group 51 cases, 17 cases of GOS Ⅰ, Ⅱ-Ⅲ grade 19 cases, 15 cases of Ⅳ-Ⅴ,there is significant difference between the two groups. Conclusion: the standard large trauma craniotomy is effective for the treatment of severe craniocerebral injury.

standard large trauma craniotomysevere head injury

李峰

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沈阳急救中心 110006

标准大骨瓣减压术 重型颅脑损伤

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(9)
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