手术干预双侧瞳孔散大的外伤性脑疝预后评价  

Prognostic evaluation on surgical treatment of traumatic cerebral herniation with bilateral mydriasis

作　　者：沈礼芹[1] 蒋金泉[1] 郭建杰[1] 

机构地区：[1]遵义医学院第五附属珠海医院脑外科,广东珠海519100

出　　处：《吉林医学》2010年第16期2382-2383,共2页Jilin Medical Journal

摘　　要：目的:探讨影响双侧瞳孔散大的外伤性脑疝手术效果的因素。方法:回顾性分析56例双侧瞳孔散大的外伤性脑疝患者的临床资料,根据术后半年格拉斯哥预后评分(GOS)评价疗效。结果:双侧瞳孔散大的外伤性脑疝治疗有效率32.1%,死亡率62.5%。年龄,脑损伤类型,手术减压时间等因素均与手术疗效相关。结论:双侧瞳孔散大的外伤性脑疝手术结果与多种因素有关,它们之间并非互相独立而是彼此影响。年龄,脑损伤类型,手术减压时间是重要的预后因素。Objective To explore the factors influencing the surgical effect of traumatic cerebral herniation with bilateral mydriasis.Method Clinical data of 56 patients were reviewed.The curative effect was evaluated half year after operation according to the Glasgow outcome scale.Results The total effective rate was 32.1%,and the mortality was 62.5%.The patient＇s age,type of injury and surgical time were found to be correlated with the operation effect.Conclusion Multiple factors exert synergic effect on the therapeutic outcomes of these patients.Patient＇s age,type of injury and surgical time are important prognostic factors of these patients.

关 键 词：颅脑损伤 瞳孔散大 脑疝 手术 预后 

分 类 号：R651.15[医药卫生—外科学]