| 大骨瓣减压术抢救大面积脑梗死的治疗 |
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| 引用本文： | 陆刚 戢太红 李德龙 许士伟. 大骨瓣减压术抢救大面积脑梗死的治疗[J]. 郧阳医学院学报, 2005, 24(4): 216-217,201 |
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| 作者姓名： | 陆刚 戢太红 李德龙 许士伟 |
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| 作者单位： | 湖北省房县人民医院神经外科 湖北房县442110(陆刚，戢太红，李德龙)，湖北省房县人民医院神经外科 湖北房县442110(许士伟) |
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| 摘 要： | 目的:探讨抢救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的小脑幕切迹疝采用标准外伤大骨瓣开颅减压术。结果:31例中27例存活,4例死亡。27例幸存者中19例随访3-6月,智能均接近正常,其中9例能生活基本自理。结论:去骨瓣减压术是抢救大面积脑梗死所致脑疝的有效方法。
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| 关 键 词： | 去骨瓣减压术 大面积脑梗死 小脑幕切迹疝 |
| 文章编号： | 1006-9674（2005）04-0216-03 |
| 收稿时间： | 2005-06-24 |
| 修稿时间： | 2005-06-24 |
Treatment of decompressive craniectomy on massive cerebral infarction |
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| Liu Gang;Ji TaiGong;Li DeLong;Xu ShiWei. Treatment of decompressive craniectomy on massive cerebral infarction[J]. Journal of Yunyang Medical College, 2005, 24(4): 216-217,201 |
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| Authors: | Liu Gang Ji TaiGong Li DeLong Xu ShiWei |
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| Abstract: | Objective To explore the surgical procedures in the treatment of the transtentorial hernia caused by massive cerebral infarction. Methods The standard large trauma craniotomy and excision of non-functional brain tissue were used in 31patients with transtentorial heria due to massive cerebral infarction. Results 31patients with transtentorinl hernia due to massive cerebral infarction,27 survived and 4 died.19 survivals was followed up for 3-24 months and they had nearly normal intellect and 9 of them could live independently. Conclusion The large trauma craniectomy is an effective method for the treatment of transtentoial hernia due to massive cerebral infarction |
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| Keywords: | Decompressive craniectomy Massive cerebral infarction Transtentorial hernia |
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