非火器颅脑穿通伤并异物存留的临床处理

目的 探讨非火器颅脑穿通伤并颅内异物存留的临床处理方法 .方法 回顾性分析5例非火器颅脑穿通伤并致伤物存留的病例,结合相关文献,分析此类伤者的临床处理方法 .结果 5例伤者均于伤后早期行开颅手术治疗,1例一侧肢体轻瘫,4例痊愈;术中均未出现大出血,术后均未出现颅内感染、癫痫发作和脑脊液漏.结论 头颅X线和CT检查是手术方案设计的主要依据,伤后防止致伤物移位,尽早开颅清创,取出致伤物,防止继发性损伤是取得良好疗效的基本保障.

Clinical management of non-missile penetrating brain injury and intracranial foreign body

Objective To study the clinical management of non-missile penetrating brain injury and intracranial foreign body.Methods Retrospectively analyzed 5 cases of non-missile penetrating brain injury and intracranial foreign body,and reviewed relative literature.Results Eady surgical management for all 5 cases,4 cases were cured except hemiparesis in 1 case.There were not active bleeding during surgical treatment,and there were not intracranial infection,epilepsy and cerebrospinal fluid leakage in post-operation in all 5 cases.Conclusions The surgical plan is rely on skull X-rays and brain CT scan.To keep the penetrating object in situ posttrauma,early surgical intervention,remove the penetrating object and prevent secondary brain injury may provide a better outcome.