无中线移位的重型颅脑外伤急性弥漫性脑肿胀的危险因素分析及手术治疗策略  

Analysis of risk factors and surgical treatment strategy of severe craniocerebral injury acute diffuse brain swelling without midline shift

作　　者：王一平[1] 孟永博[1] 王晓勇[1] 颜扬[1] 

机构地区：[1]中山大学附属第五医院,519000

出　　处：《中国实用医药》2014年第32期9-10,共2页China Practical Medicine

摘　　要：目的分析无中线移位的重型颅脑外伤急性弥漫性脑肿胀的危险因素并探究手术治疗方法具有的临床应用价值。方法 150例无中线移位的重型颅脑外伤急性弥漫性脑肿胀患者为研究对象,按照收治时间分为对照组与研究组,各75例,对照组采取保守治疗;研究组采取手术治疗,对比两组患者临床治疗效果并分析相应危险因素。结果无中线移位的重型颅脑外伤急性弥漫性脑肿胀的危险因素有受伤至入院时间、既往史及合并多发伤;研究组临床治疗效果明显优于对照组,差异具有统计学意义(P<0.05)。结论无中线移位的重型颅脑外伤急性弥漫性脑肿胀的危险因素主要包括受伤至入院时间、既往史及合并多发伤。开展积极的手术治疗能够显著提高患者生存率并改善预后。Objective To analysis the risk factors of severe craniocerebral injury acute diffuse brain swelling without midline shift, and to explore the clinical application value of the surgical treatment strategy. Methods A total of 150 patients of severe craniocerebral injury acute diffuse brain swelling without midline shift were selected as study subjects, and they were divided into control group and research group according to admission time, with 75 cases in each group. The control group received conservative treatment, and the research group underwent surgical treatment. The curative effects were compared between the two groups to analyze the related risk factors. Results The risk factors of severe craniocerebral injury acute diffuse brain swelling without midline shift mainly included the time gap between injury and admission, past medical history, and multiple injuries. The curative effect of the research group was remarkably better than that of the control group, and the difference between the two groups had statistical significance （P〈0.05）. Conclusion The risk factors of severe craniocerebral injury acute diffuse brain swelling without midline shift mainly included the time gap between injury and admission, past medical history, and multiple injuries. Active treatment by surgery can significantly increase the survival rate and improve prognosis.

关 键 词：无中线移位 重型颅脑外伤 急性弥漫性脑肿胀 危险因素 

分 类 号：R651.15[医药卫生—外科学]