去骨瓣减压术在颅内血肿治疗中的临床分析  

Clinical Analysis of Decompressive Craniectomy in Treatment of Intracranial Hematoma

作　　者：雷东[1] 

机构地区：[1]河南省淮阳县人民医院神经外科,466700

出　　处：《中国卫生标准管理》2015年第13期51-52,共2页China Health Standard Management

摘　　要：目的探讨脑疝形成后去骨瓣减压术的临床治疗方法和效果。方法对我院神经外科收治的67例去骨瓣减压术患者的临床资料进行回顾性分析。结果急诊去骨瓣减压术后死亡13例。成活的54例中愿意二次修补颅骨27例为对照组,不愿修补颅骨27例为观察组。2组患者治疗后生存情况的差异具有统计学意义(P<0.05)。结论去骨瓣减压术是一种积极的抢救措施,术后半年左右应积极修补颅骨缺损,减少颅骨缺损给患者带来的各种危害。Objective To study the clinical treatment methods and effect of decompressive craniectomy after the formation of cerebral hernia. Methods The clinical data of 67 cases of patients with decompressive craniectomy were retrospectively analyzed in our hospital＆#39;s department of Neurosurgery. Results After the emergency decompressive craniectomy,13 cases died,54 cases were survived. According to whether patients were wil ing to repair of skul ,54 cases were divided into observation group and control group. After treatment,2 groups of patients of the situation is not the same,it has significant difference （P〈0.05）. Conclusion Decompressive craniectomy is an active emergency measures. After treatment,patients should repair of skul defect actively and reduce the harm of skul defect for patients.

关 键 词：去骨瓣减压术 继发性癫痫 颅骨修补术 

分 类 号：R651.1[医药卫生—外科学]