颅脑损伤致去脑强直病人的救治  

Treatment of Patients with Decerebrate Rigidity caused by Craniocerebral Injuries

作　　者：郭庆雷[1] 宁同波[1] 苘辉斌[1] 郭文斌[1] 隋强波[1] 邹积典[1] 孙培乐[1] 

机构地区：[1]山东省威海市文登中心医院,264400

出　　处：《职业与健康》2005年第11期1824-1825,共2页Occupation and Health

摘　　要：目的探讨颅脑损伤致去脑强直患者的受伤类型、年龄、治疗方法与预后的关系。方法对80例颅脑损伤致去脑强直病人救治,70例行手术治疗,其中颅内血肿清除术53例,去骨瓣减压29例,内减压17例,保守治疗10例。结果单纯颅内血肿、后颅凹的损伤、儿童及青年预后相对较好;脑挫裂伤伴颅内血肿、或伴脑肿胀、原发脑干损伤预后差。结论颅脑损伤的类型。[ Objective] To explore the relationship between types of injuries, age, methods of treatment and prognoses of the patients with decerebrate rigidity caused by craniocerebral injuries. [Methods] 70 cases of decerebrate rigidity caused by craniocerebral injuries received operations, among which 53 cases received intracranial hematoma evacuation, 29 cases received external decompression, 17 cases received internal decompression, and the other 10 cases received conservative treatment. [Results] The prognoses were good among children, youth and patients with pure intracranial hematoma, or with posterior fossa injuries. The prognoses were not satisfactory among the patients with brain contusion combined with intracranial hematoma, or with brain contusion and brain swelling, especially with primary stem injuries.[ Conclusion] Types of injuries, age and methods of treatment have great effect on the prognoses.

关 键 词：颅脑损伤 去脑强直 治疗和预后 

分 类 号：R651.1[医药卫生—外科学]