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| 额叶内侧面损伤的临床特点及救治 | |
| 引用本文： | 罗宗晚,颜春英,朱新洪,胡继实,郭灿,杨焕松. 额叶内侧面损伤的临床特点及救治[J]. 中华神经医学杂志, 2004, 3(3): 198-200 |
| 作者姓名： | 罗宗晚 颜春英 朱新洪 胡继实 郭灿 杨焕松 |
| 作者单位： | 怀化医专附属医院神经外科,湖南,怀化,418000 |
| 摘 要： | 目的 总结17例额叶内侧面损伤的临床特点及救治经验。方法 对我科1999年7月至2003年4月收治的额叶内侧面损伤患者进行回顾性分析。结果 手术治疗1例，恢复良好，保守治疗16例，其中恢复良好12例，中残2例，死亡2例，全组死亡率11．77％。结论 额叶内侧面损伤一般意识障碍较轻，但易直接发生枕骨大孔疝，严密观察病情及动态CT检查，颅内压监测，不拘泥传统手术指征，及时抓住手术时机，可有效降低致残率及死亡率。 |
| 关 键 词： | 额叶内侧面损伤 手术治疗 枕骨大孔疝 颅脑损伤 临床资料 |
| 文章编号： | 1671-8925(2004)03-0198-003 |
| 修稿时间： | 2003-10-22 |
Clinical characteristics and therapy of frontal medial surface injury |
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| LUO Zongwan,YAN Chunying,ZHU Xinghong,HU Jishi,GUO Can,YANG Huansong. Clinical characteristics and therapy of frontal medial surface injury[J]. Chinese Journal of Neuromedicine, 2004, 3(3): 198-200 | |
| Authors: | LUO Zongwan YAN Chunying ZHU Xinghong HU Jishi GUO Can YANG Huansong |
| Affiliation: | LUO Zongwan,YAN Chunying,ZHU Xinghong,HU Jishi,GUO Can,YANG HuansongDepartment of Neurosurgery,Affiliated Hospital of Huaihua Medical College,Huaihua 418000,China |
| Abstract: | Objective To summarize the clinical characteristics and therapeutic experience of 17 patients with frontal medial surface injury. Methods 17 patients with frontal medial surface injury admitted to our department from July 1999 to April 2002 were analyzed retrospectively. Results In this group, 13 cases (13/17) had a good recovery, 1 treated surgically and 12 treated conservatively. 2 cases (11.77%) suffered from moderate disability and the other 2 (11.77%) died after conservative therapy. Conclusion The patients of frontal medial surface injury have a low consciousness disturbance, but they may appear tonsillar hernia easily. It is effective for decreasing morbidity and mortality rate to observe the patients states carefully, scan brain by incremental dynamic CT, monitor ICP and resect the brain contusion and laceration at the right time. |
| Keywords: | frontal medial surface head injury tonsillar hernia |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |