双侧额叶脑挫裂伤40例治疗体会及疗效观察  

Treatment experience of contusion and laceration of double frontal lobes in 40 cases

作　　者：于海东[1] 麻晓融[1] 高麟[1] 董宇峰[1] 

机构地区：[1]包头医学院第二附属医院神经外科,内蒙古包头014030

出　　处：《中国伤残医学》2017年第22期5-6,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨外伤性双额叶脑挫裂伤患者的临床诊治特点及合理治疗方法.方法：对我院2009年6月-2016年12月收治的40例外伤性双额叶脑挫裂伤患者临床资料进行回顾性分析.结果：对所有患者均随访半年-1年,其中恢复良好30例,中残6例,重残2例,死亡2例.结论：对于外伤性双额叶脑挫裂伤患者,应对患者的生命体征进行观察,通过头颅CT如若发现血肿以及脑水肿等状况,且患者出现神志不清,瞳孔散大的症状,应及早进行治疗甚至进行手术,早期进行手术治疗,达到充分减压目的,是治疗成功及减少致残率及死亡率的关键.Objective： To explore the rational treatment of the contusion and laceration of double frontal lobes. Methods： The clinical data of 40 patients with contusion and laceration of double frontal lobes were analyzed retrospectively from June 2009 to December 2016. Results： All patients were followed - up for 6 months to 1 year. Good in 30 cases, moderate disability in 6 cases, severe disability in 2 cases and death in 2 case were found by the Glasgow outcome scale. Conclusion： The patients with contusion and laceration of double frontal lobes should be greatly paid attention, the pupils of patients should he strictly observed, and the monitoring intrac ; ranial pressure and reexamining dynamic ; skull CT were implemented when it he needed. Correctly grasping the operation indication and active treatment should be the key to the treatment.

关 键 词：双额叶脑挫裂伤 治疗 预后 

分 类 号：R651.1[医药卫生—外科学]