急性颅脑伤术后再次开颅手术临床分析  

Clinic Analysis For Second Craniotomy With Acute Brain Injury

作　　者：谢晓勇 林光畴 郭文荣 李玉茂 陈雄 

机构地区：[1]南京军区福州总院95临床部神经外科,福建莆田351100

出　　处：《中国伤残医学》2006年第3期14-16,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨急性颅脑伤术后再次出血行二次手术的原因与对策。方法:回顾性分析急性颅脑伤术后再次出现颅内血肿者28例。结果:根据格拉斯哥预后量表(GOS)评分:恢复良好者12例,中残3例,重残3例,植物生存1例,死亡9例。结论:能否预防颅脑外伤术后再次出血及早期诊断、及时手术治疗是提高患者生存率及生存质量的关键。Objective： To investigate the cause and coutermeasures for second craniotomy with acute brain injury. Methods： Retrospectively analyzed with 28 cases of acute, brain injury who had undergone intracranial hematoma after craniotomy. Results： 15 cases survived well, 2 cases suffered from moderate disability, 2 cases severe deficit, 1 cases vegetative and 8 cases death according to GOS. Conclusion： The key points of improve survival sates and larynx preservation were prevent re-bleeding after vrain injury, earlier diagnosis and craniotomy.

关 键 词：颅脑伤 颅内血肿 开颅术 

分 类 号：R651.1[医药卫生—外科学]