穿针配合减压术后小脑幕切开抢救外伤性脑疝  

Needle Decompression with Tentorial Incision Rescue after Traumatic Brain

作　　者：杨春林 张彪 侯月华 南远顺 尚丽彬 张惠明 潘密 孙仁泉[2] 

机构地区：[1]河北省香河县人民医院神经外科,香河065400 [2]北京首都医科大学附属北京红十字朝阳医院,北京100020

出　　处：《中国医药导刊》2009年第7期1111-1112,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨术前尽早减压及术中完全减压抢救外伤性脑疝患者的临床疗效。方法:对103例重型颅脑损伤患者采用术前穿针抽吸血肿配合去骨瓣减压术后小脑幕切开抢救外伤性脑疝的方法进行治疗。结果:在随访半年以上的98例患者中,恢复良好47例。中残9例,重残9例,植物生存7例,死亡26例。结论:术前尽早减压及术中完全减压能减少脑干受压时间,显著提高重型颅脑损伤患者生存率。Objective：To explore As soon as possible the preoperative and intraoperative decompression completely rescue decompression in patients with traumatic brain clinical efficacy.Methods：103 cases of patients with severe brain injury using needle aspiration preoperative hematoma with decompressive craniectomy after traumatic tentorial incision rescue the methods of treatment of cerebral hernia.Results：More than half a year in the follow-up of 78 patients, 47 eases of good recovery, in nine cases of disabled,severely disabled nine eases, seven eases of the survival of plants,26 cases of death.Conclusion：Preoperative and intraoperative decompression as soon as possible,complete decompression of brain stem compression can reduce the time,Significantly improve the survival rate of patients with severe brain injury.

关 键 词：穿针血肿抽吸 去骨瓣减压 小脑幕切开 重型颅脑损伤 生存率 

分 类 号：R651.1[医药卫生—外科学]