| 颅脑对冲伤与冲击伤再手术的预见性分析 |
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| 引用本文： | 唐江,刘广荣,萧戟,蒋寒,张鑫涛. 颅脑对冲伤与冲击伤再手术的预见性分析[J]. 临床神经外科杂志, 2010, 7(1): 42-43. DOI: 10.3969/j.issn.1672-7770.2010.01.015 |
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| 作者姓名： | 唐江 刘广荣 萧戟 蒋寒 张鑫涛 |
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| 作者单位： | 长沙医学院附属湘潭市二医院神经外科,411100 |
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| 摘 要： | 目的探讨颅脑对冲伤与冲击伤再手术的原因和预见性因素。方法回顾性分析18例颅脑对冲伤与冲击伤再手术患者的临床特点。结果本组18例采用GOS评定,随访6个月～2年,良好5例,轻残5例,重残2例,植物生存1例,死亡5例。结论,颅脑外伤同时具备减速性损伤,冲击伤侧的颅骨骨折,时间短,对冲伤侧的硬膜下血肿宽度大于10cm,意识昏迷时再手术可能性大。
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| 关 键 词： | 脑外伤 对冲伤 冲击伤 |
Analysis of causes and predictors of reoperation in coup and contre-coup head injury predictors |
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| Affiliation: | LIU Guang-rong, XIAO Ji, et al( Department of Neurosurgery, Second Hospital of XiangTan Affiliated to ChangSha College of Medicine ,Xiangtan 411100, China) |
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| Abstract: | Objectives To investigate the causes and predictors of reoperation in coup and contre-coup head injury. Methods Clinical data of 18 cases of head injury were analysised retrospectively. Results The outcome of 18 cases were assessed according to GOS. The follow-up periods were between 6 months to 2 years. Of ：them , 5 recovered, 5 received with mild disability, 2 with severe disability, 1 in vegetative state ,5 died. Conclusions Deceleration injury, skull fracture of coup side, rapid progression contre-coup SDH of over 10mm in midth and comatose predict reoperation. |
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| Keywords: | traumatic brain injury contrecoup injury impact injury |
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