额叶挫裂伤手术时机的相关因素研究进展  

Analysis of Operation Timing Factors for Frontal Lobe Contusion

作　　者：杨波 石传江 

机构地区：[1]解放军第一四八医院神经外科,山东淄博255300

出　　处：《医学综述》2016年第22期4444-4447,共4页Medical Recapitulate

摘　　要：额叶挫裂伤是一种较常见的颅脑损伤,其病情复杂,可发生严重脑水肿及颅内血肿,并导致患者突然死亡。由于病情较重,其多需要采取手术治疗,但目前对额叶脑挫伤的手术时机尚未统一。现就额叶挫裂伤患者手术相关的格拉斯哥昏迷指数评分、脑中心疝的发生、凝血机制异常、双侧脑室夹角的度数变化、是否合并血肿等因素进行相关性分析,探究它们与额叶挫裂伤患者手术的具体关联,这对于保障患者预后和提高患者生活质量具有积极意义,也为额叶挫裂伤患者手术治疗时机的选择及改善预后提供了一定的依据。Frontal lobe contusion is a common brain injury,with complex conditions,and may cause serious cerebral edema and intracranial hematoma and lead to sudden death of the patients. Due to the serious condition,surgery is often needed,but the timing of surgery has not reached consensus yet. Here is to analyze the surgery associated factors such as Glasgow Coma Scale score,the brain center hernia,abnormal blood clotting mechanism,degree change in the angle of bilateral ventricles,and hematoma complication,to explore their specific correlations with frontal lobe contusion surgery,which has positive significance for ensuring the prognosis and improving the quality of life of the patients,and provides a certain reference for selecting the operation timing and improving the prognosis of the patients.

关 键 词：额叶挫裂伤 格拉斯哥昏迷指数评分 脑中心疝 双侧脑室夹角度数 

分 类 号：R651.15[医药卫生—外科学]