后颅窝去骨瓣减压治疗重度原发性脑干损伤的临床研究  

Clinical study of brain-stem decompression in the patients with severe primary brain-stem injury

作　　者：龙连圣[1] 王伟明[1] 江基尧[2] 韩瑞璋[1] 赵朝晖[1] 张建忠[1] 李夏良[1] 于烽[1] 赵保[1] 盛文国[1] 

机构地区：[1]解放军第98医院神经外科,浙江湖州313000 [2]上海交通大学附属仁济医院脑科中心,200001

出　　处：《中国急救医学》2007年第5期446-447,共2页Chinese Journal of Critical Care Medicine

基　　金：南京军区医学科研"十五"计划基金重点课题资助项目(No.02R005)

摘　　要：目的探讨后颅窝去骨瓣减压治疗重度原发性脑干损伤的疗效。方法47例重度原发性脑干伤患者随机分成两组,骨瓣减压组23例行后颅窝减压后行常规治疗,对照组24例行单纯非手术综合治疗。结果23例行后颅窝减压的患者中,存活15例,死亡8例;24例对照组患者中,存活9例,死亡15例,两组相比差异有统计学意义(P<0.05)。结论后颅窝减压能有效地缓解脑干周围的压力,从而降低脑干损伤的死亡率。Objective To explore the effects of brain - stem decompression on patients with severe primary brain - stem injury. Methods 47 patients with severe primary brain - stem injury were divided into two groups： 23 patients accepted decompression in the posterior cranial fossa, and 24 cases as the control group did not accepted operation. Results The mortality was 34.8% （ 8/23 ） in the brain - stem decompression group and 62.5 % （ 15/24 ） in the control group respectively （ P 〈 0.05 ）. Conclusion Posterior cranial fossa decompression is a useful method for the patients with severe primary brain - stem injury and can reduce the mortality.

关 键 词：减压 原发性脑干伤 重度 预后 

分 类 号：R651.15[医药卫生—外科学]