儿童重型开放性颅脑损伤颅骨处理的经验  

Experience in treatment of severe open craniocerebral injury in children

作　　者：贺伟旗[1] 屈延[1] 匡永勤[1] 顾建文[1] 杨立斌[1] 邢学民[1] 程林[1] 杨文涛[1] 

机构地区：[1]成都军区总医院神经外科,610083

出　　处：《临床神经外科杂志》2009年第2期60-62,共3页Journal of Clinical Neurosurgery

基　　金：国家自然科学基金资助项目(30700255)

摘　　要：目的探讨儿童重型开放性颅脑损伤的治疗。方法回顾分析14例重型开放性顷脑损伤患儿临床资料。结果14例患儿均急诊行开颅清创、颅骨碎片一期植入成形术,痊愈出院,颅骨成形满意。结论儿童重型开放性颅脑损伤病情变化快,临床表现严重,在确保生命的同时力争颅骨碎片一期植入成形。Objective To explore the treatment of severe open craniocerebral injury （GCS ≤ 8） in children. Methods 14 children with severe open craniocerebral injury were debrided under general anaesthesia and the bone fragments were washed and implanted. Results The outcomes in all patients were good. The bone fragments survived and cranium aspect were satisfactory. There were no sequelae. Conclusions The pathogenetic condition of the children with severe open craniocerebral injury was changeable and the clinical manifestation was severe. Rescuing lives, ensuring neurofunctional recovery and integrality of skull should be considered at the same time.

关 键 词：开放性颅脑损伤 儿童 

分 类 号：R651.15[医药卫生—外科学]