天幕切开低温液基底池灌洗治疗特重型颅脑损伤的临床研究  

The clinical studying of tentorium cerebeni hiatus incision with continuous trickle of low temperature liquids through the basal cistern in treatment of most severe brain injured patients

作　　者：林合麟 陶水英 赖祝琴 Lin Helin, Tao Shuiying, Lai Zhuqin. （ Department of Neurosurgery, The Xixiang People＇ s Hospital of Shenzhen , Guangdong 518102, China）

机构地区：深圳市西乡人民医院,广东深圳518102

出　　处：《中国保健》2008年第12期419-421,共3页Chinese Health Care

基　　金：深圳市科技计划项目（200703164）;深圳市宝安区科技计划项目（2007123）

摘　　要：目的：分析和探讨应用天幕切开加低温液基底池灌洗治疗重型／特重型颅脑损伤合并小脑幕切迹疝患者的临床疗效。方法：36例重型／特重型颅脑损伤合并小脑幕切迹疝患者在常规术式的基础上加行天幕切开、低温液基底池灌洗治疗，与同期32例此类患者应用常规术式治疗进行对比的临床研究。结果：天幕切开组36例随访0．5～1年恢复良好16例，中、重残11例，无植物生存，死亡9例。常规术式组32例随访0．5～1年恢复良好9例，中、重残4例，植物生存2例，死亡17例。结论：天幕切开加低温液基底池灌洗治疗对重型／特重型颅脑损伤合并小脑幕切迹疝患者是效果显著的术式，可以明显地降低此类疾病的并发症、致残率和死亡率。Objective ：To analyze and discuss the clinical effects of tentorium cerebelli hiatus incision with continuous trickle of low temperature hquids through the basal cistern in treatment of severe and most severe brain injured patients with tentorial herniation. Methods ：Tentorium cerebelli hiatus incision with continuous trickle of low temperature liquids through the basal cistern were made on the base of conventional operation on 36 cases of severe and most severe brain injury with tentorial herniation. The clinical study was done by comparing with 32 cases the same patients treated by conventional operation. Results ： With follow - up from 6 months to 1 year, among 36 cases of tentorium cerebelli hiatus incision group, 16 good recovery, 11 moderate deficit and severe deficit, no persistent vegetative status, and 9 were dead; Among 32 cases of conventional operation group ,9 good recovery ,4 moderate deficit and severe deficit ,2 persistent vegetative status, and 17 were dead. Conclusion ：Tentorium cerebelli hiatus incision with continuous trickle of low temperature liquids through the basal cistern is an effective way for severe and most severe brain injured patients with tentorial herniation. The complication, disability rate and mortality of these patients were decreased apparently by the operation.

关 键 词：颅脑损伤 小脑幕切迹疝 天幕切开 低温液 基底池 

分 类 号：R651.15[医药卫生—临床医学;医药卫生—外科学]