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大骨瓣开颅术在大面积脑梗死所致脑疝中的应用
引用本文:叶伟,康军,杨立庄. 大骨瓣开颅术在大面积脑梗死所致脑疝中的应用[J]. 中国临床神经外科杂志, 2002, 7(6): 347-348
作者姓名:叶伟  康军  杨立庄
作者单位:1. 华中科技大学同济医学院附属协和医院神经外科,武汉,430022
2. 哈尔滨医科大学附属第二医院神经外科,哈尔滨,150086
摘    要:目的 探讨大面积脑梗死所致脑疝的手术方法。方法 对大面积脑梗死所致早、中期小脑幕切迹疝采用标准外伤大骨瓣开颅术及非功能区脑组织切除术。结果 12例中10例存活,2例死亡;10例幸存者随访3~6个月,智能均接近正常,其中6例能独立生活。结论 标准外伤大骨瓣开颅术是治疗脑梗死所致脑疝的有效方法。

关 键 词:外伤瓣  脑梗死  小脑幕切疝  开颅术
文章编号:1009-153X(2002)06-0347-02
修稿时间:2002-02-01

Application of Standard Large Trauma Craniotomy to Management of Transtentorial Hernia due to Massive Cerebral Infarction
YE Wei,KANG Ju,YANG Li-zhuang,et al.. Application of Standard Large Trauma Craniotomy to Management of Transtentorial Hernia due to Massive Cerebral Infarction[J]. Chinese Journal of Clinical Neurosurgery, 2002, 7(6): 347-348
Authors:YE Wei  KANG Ju  YANG Li-zhuang  et al.
Affiliation:YE Wei,KANG Ju,YANG Li-zhuang,et al . Department of Neurosurgery,Xiehe Hospital,Tongi Medical School,Huazhong University of Science and Technology,Wuhan 430022,China
Abstract:Objective To discuss the surgical procedures in the treatment of the transtentorial hernia caused by massive cerebral infarction. Method The standard large trauma craniotomy and excision of non-functional brain tissue were used in 12 patients with transtentorial hernia due to massive cerebral infarction. Results Of 12 patients with transtentorial hernia due to massive cerebral infarction, 10 survived and 2 died. All the 10 survivals followed up for 3-6 months had almost normal intellect and 6 of them could live independently. Conclusion The standard large trauma craniotomy is an effective method for the treatment of transtentorial hernia due to massive cerebral infarction.
Keywords:Trauma flap  Cerebral infarction  Transtentorial hernia  craniotomy
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