急性创伤性颅内血肿的早期手术治疗  

Early Surgical Treatment of Acute Traumatic Intracranial Hematoma

作　　者：张清尧 

机构地区：[1]云南省安宁市人民医院,云南安宁650300

出　　处：《中国医药指南》2016年第3期29-30,共2页Guide of China Medicine

摘　　要：目的探讨急性创伤性颅内血肿的早期手术治疗方法及效果。方法选择2001年~2010年间的288例行早期手术治疗的急性创伤性颅内血肿患者为研究对象,所有病例均获得l^3年的随访。回顾性分析其临床资料,观察手术治疗的效果。结果按照格拉斯哥结果分级(GOS):Ⅰ级(死亡)17例(5.9%);Ⅱ级(植物生存)6例(2.1%);Ⅲ级(重残)8例(2.8%);Ⅳ级(中残)25例(8.7%);Ⅴ级(良好)232例(80.6%)。结论急性创伤性颅内血肿早期采取开颅清除血肿、去骨辦减压,术后给予常规脱水、抗感染、止血、营养脑细胞等治疗,能较好的挽救患者生命,减轻伤残程度。Objective To discuss the early surgical treatment of acute traumatic intracranial hematoma and its effect. Methods 288 cases of acute traumatic intracranial hematoma who had early surgical treatment were selected and followed up for 1 to 3 years. Results According to Glasgow outcome scale（GOS）, there were level Ⅰ（death） 17 cases（5.9%）; level Ⅱ（vegetative） 6 cases（2.1%）, level Ⅲ（severe disability） 8 cases（2.8%）; level Ⅳ（moderate disability） 25 cases（8.7%）; level Ⅴ（good） 232 cases（80.6%）. Conclusion The treatment of early craniotomy evacuation of hematoma and decompressive craniectomy and post-operative dehydration,anti-infection, hemostasis and nourishing brain cells for acute traumatic intracranial hematoma could save lives better and reduce disability.

关 键 词：急性创伤性颅内血肿 早期手术 伤残 

分 类 号：R743.3[医药卫生—神经病学与精神病学]