标准外伤大骨瓣开颅治疗重型额颞部颅脑损伤  

Standard Trauma Craniotomy in Severe Frontotemporal Craniocerebral Injury

作　　者：梁日初[1] 廖勇仕 黄性敏 石巧玲 杨锋 

机构地区：[1]南华大学附二医院神经外科

出　　处：《中国现代手术学杂志》2003年第6期458-459,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的　探讨标准外伤大骨瓣开颅在重型额颞部颅脑损伤中的应用价值。　方法　采用美国标准外伤大骨瓣开颅术治疗重型额颞部颅脑损伤 48例 ,术后均入神经外科重症监护病房 ,注意保持气道通畅 ,并给予脱水、促醒等对症支持治疗。　结果　存活 3 2例 (66.7% ) ,其中良好 2 1例 ,中残 6例 ,重残 3例 ,植物生存 2例 ,死亡 16例。　结论　标准外伤大骨瓣开颅术是治疗重型额颞部颅脑损伤的良好术式。Objective To evaluate the value of standard trauma craniotomy in severe frontotemporal craniocerebral injury. Methods Forty eight patients with severe frontotemporal craniocerebral injury were treated by standard trauma craniotomy of USA. All patients were sent to NICU and aquired general therapy of smoothing airway, decreasing intracranial pressure with dehydration and consciousness regaining. Results 32 patients survived, including 6 patients with moderate disability, 3 with severe disability and 21 with good recovery. 16 patients died, and 2 were in a botanic state. Conclusions Standard trauma craniotomy is a good therapeutic method for severe frontotemporal craniocerebral injury.

关 键 词：骨瓣 开颅治疗 额颞部颅脑损伤 临床资料 手术方法 

分 类 号：R651.15[医药卫生—外科学]