天幕切开在重型颅脑损伤脑疝急诊手术中的应用分析  

The Analysis of the Application of Awning in Emergency Surgery for Severe Brain Injury

作　　者：杨成 YANG Cheng(Department of Neurosurgery,ChengFei Hospital,Chengdu 610090,China)

机构地区：[1]成都市成飞医院神经外科,四川成都610090

出　　处：《中国医药指南》2018年第20期30-30,34,共2页Guide of China Medicine

摘　　要：目的分析天幕切开在重型颅脑损伤脑疝急诊手术中的应用情况。方法回顾性分析,我院2012年5月至2018年5月期间收治的82例重症颅脑损伤脑疝急诊手术患者。结果术后82例患者均通过头颅CT扫描,脑内挫伤位置血肿/原脑内小血肿增大者、减压窗对侧硬膜外血肿者、大脑后动脉梗死者各占42.68%、4.88%、2.44%。82例患者中,恢复效果较佳者、中残者、重残者、植物生存者、死亡者、放弃治疗者分别占54.88%、19.50%、9.76%、8.54%、4.88%、2.44%。结论天幕切开在重症颅脑损伤脑疝急诊手术中应用,操作简单、安全,存在临床应用和推广的价值。Objective To analyze the application of canopy incision in emergency surgery for severe brain injury.Methods A retrospective analysis of 82 cases of severe craniocerebral injury in our hospital from May 2012 to May 2018 was performed.Results 82 cases of postoperative patients by skull CT scanning,the position of the brain contusion/primitive brain hematoma small hematoma enlargement,decompression window for lateral epidural hematoma,posterior cerebral artery infarction:of each 42.68%,4.88%,2.44%.Among the 82 patients,the recovery effect was better than that of the survivors,the residuals,the residuals,the survivors,the dead and the waivers,respectively:54.88%,19.50%,9.76%,8.54%,4.88%and 2.44%respectively.Conclusion The application of canopy incision in the emergency operation of severe craniocerebral injury is simple,safe,and has the value of clinical application and promotion.

关 键 词：天幕切开 重型颅脑损伤 脑疝急诊手术 应用效果 

分 类 号：R651.15[医药卫生—外科学]