双额叶重度脑挫裂伤的早期救治体会  

The experience early treatment of severe bifontal intraparenchyma contusion

作　　者：王飞[1] 冉启山[1] 李航[1] 文远超[1] 杨开华[1] 

机构地区：[1]遵义医学院第三附属医院神经外科,遵义563000

出　　处：《重庆医科大学学报》2010年第7期1127-1128,共2页Journal of Chongqing Medical University

摘　　要：目的:探讨双额叶重度脑挫裂伤并发中央型脑疝的早期救治方法。方法:对41例双额叶重度脑挫裂伤的临床资料进行回顾分析。结果:本组41例病人中,31例经手术治疗,存活28例。伤后半年时根据GOS分级标准:恢复良好12例;中残13例;重残2例;植物生存1例;死亡3例。结论:对于双额叶重度脑挫裂伤患者,应予以高度重视,在非手术治疗过程中,应严密观察患者意识、瞳孔及生命体征变化;注意停脱水剂不宜过早、过快;要动态复查头颅CT,正确掌握手术适应证。早期开颅清除坏死脑组织及去骨瓣减压可有效地提高患者的治愈率。Objiective：to summarize the early treatment of severe bifrontal intraparenchyma contusion associated with central herniation. Mehthod：clinical presentation of 41 cases of secere bifrontal contusion associated with central herniation were analyzed retrospectively. Resolts：12 cases had good overcome,13 mild morbidty,2 severe mordity,1 were in persistent vegetative state,3 mortality.Conclusions： Attaches great importance to patients with severe bifrontal brain contusion associated with central herniation,close observation of patients with their consciousness,pupil and changes in vital signs;attend that it is premature to stop dehydrating agent,too fast,to review the head dynamic CT,the right to master surgical indications.Early removal of necrotic brain tissue and cranial decompressive craniectomy to be effective in improving the cure rate of patients.

关 键 词：双额叶重度脑挫裂伤 中央型脑疝 早期诊断及治疗 

分 类 号：R651.11[医药卫生—外科学]