标准大骨瓣开颅减压术治疗重型颅脑损伤和大面积脑梗死(附49例报告)  

Standard decompressive hemicraniectomy for severe traumatic brain injury and massive cerebral infarct: a retrospective analysis of 49 cases

作　　者：刘文鹏[1] 郑冬[2] 方伟武[3] 张朝利[2] 刘燕[3] 崔绍杰[1] 黑博[1] 

机构地区：[1]国人民解放军第306医院神经外科,北京100101 [2]国人民解放军第306医院放射科,北京100101 [3]国人民解放军第306医院麻醉科,北京100101

出　　处：《中国临床神经外科杂志》2011年第10期602-604,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨标准大骨瓣减压术治疗重型颅脑损伤和大面积脑梗死的临床效果。方法回顾性的分析2006年1月至2011年1月标准大骨瓣开颅减压术治疗的38例重型颅脑损伤和11例大面积脑梗死患者临床资料。结果出院时按GOS分级,38例重型颅脑损伤患者中,GOSⅠ级15例,Ⅱ~Ⅲ级4例,Ⅳ~Ⅴ级19例。11例大面积脑梗死患者中,GOSⅠ级4例,Ⅱ~Ⅲ级1例,Ⅳ~Ⅴ级6例。结论标准大骨瓣减压术是治疗重型颅脑损伤和大面积脑梗塞的有效方法。Objective To explore the curative effect of standard decompressive hemicraniectomy on severe traumatic brain injury （STBI） and massive cerebral infarct. Method The clinical data of 38 patients with STBI and 11 patients with massive cerebral infarct, who underwent standard decompressive hemicraniectomy from January, 2006 to January, 2011, were analyzed retrospectively. Results According to GOS on discharge from hospital, of 38 patients with STBI, 15 died, 4 were severely disabled or survived vegetatively and 19 moderately disabled or recovered well. Of 11 patients with massive cerebral infarct, 4 died, 1 was severely disabled and 6 moderately disabled or recovered well. Conclusion The standard decompressive hemicraniectomy was an effective method to treat STBI and massive cerebral infarct.

关 键 词：标准大骨瓣减压术 重型颅脑损伤 大面积脑梗死 效果 

分 类 号：R651.15[医药卫生—外科学] R743.33[医药卫生—临床医学]