11例高龄重型颅脑外伤患者开颅手术效果临床分析  

Clinical Analysis of Craniotomy in 11 Aged Patients with Severe Craniocerebral trauma

作　　者：居世明[1] 曹合利[1] 陈浩[1] 

机构地区：[1]上海市第六人民医院,上海200233

出　　处：《北华大学学报（自然科学版）》2012年第6期689-691,共3页Journal of Beihua University（Natural Science）

摘　　要：目的通过对11例高龄重型颅脑外伤患者手术效果的分析,验证采取开颅手术的可行性和高效性.方法根据病历记录整理在上海市第六人民医院接受治疗的重型颅脑外伤患者11例,年龄均在70岁以上,入院时,无其他较为严重的内科疾病.患者入院后2 d内,均进行了颅脑开颅手术,同时进行了减压和缝合处理,并快速切开气管.结果 11例接受颅脑开颅手术的患者,术后并发症主要以肺感染以及上消化道出血为主,手术后要注意做好相应的检查和预防,11例手术后无死亡病例.结论针对高龄重型颅脑外伤患者的治疗可以考虑采用颅脑开颅手术,手术具有明显疗效,且可防止二次脑损伤情况的出现,建议在临床治疗中推广.Objective To discuss the feasibility and efficiency of craniotomy through analyzing the effect of craniotomy in aged patients with severe craniocerebral trauma in Shanghai No.6 People＇s Hospital.Method According to the medical records,the data from 11 cases of patients with severe craniocerebral trauma,their average ages were beyond 70 years old,were sorted and analyzed.Within two days after the admission,all patients received the craniocerebral craniotomy,at the same time,they were given the decompression and suture treatment,and the tracheotomy.Results The analysis of the data from 11 patients who received craniotomy showed that the primary postoperative complications were lung infection and upper gastrointestinal hemorrhage,and 11 patients survived,suggesting that more attention should be paid to the relevant examination and prevention after the surgery.Conclusion For the aged patients with severe craniocerebral trauma,the craniocerebral craniotomy could be considered to be a choice for them,and according to the data and documents,the surgery has showed obviously curative effect and may prevent the secondary brain damage,suggesting that the surgery may be popularized in the clinical treatment.

关 键 词：高龄 颅脑 脑外伤 开颅 临床疗效 

分 类 号：R651[医药卫生—外科学]