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硬脑膜网状减压术治疗急性颅脑外伤并发脑肿胀35例
引用本文:胡珍渊,周锋,张毅,柯尊华,方永军,罗卫. 硬脑膜网状减压术治疗急性颅脑外伤并发脑肿胀35例[J]. 陕西医学杂志, 2010, 39(2): 188-189
作者姓名:胡珍渊  周锋  张毅  柯尊华  方永军  罗卫
作者单位:陕西中医学院附属医院脑外科,咸阳,712020
摘    要:目的:探讨大骨瓣开颅配合硬脑膜网状减压术治疗急性颅脑外伤并发脑肿胀的疗效。方法:对35例急性颅脑外伤并发脑肿胀患者进行大骨瓣开颅配合硬脑膜网状减压术治疗并观察疗效。结果:根据GOS分级标准,死亡20例(57.1%),良好8例(40%),中残2例(1%),重残2例(1%),植物生存1例(0.5%)。结论:大骨瓣开颅配合硬脑膜网状减压术是治疗急性颅脑外伤并发脑肿胀的有效方法。

关 键 词:脑损伤  脑水肿/并发症  脑水肿/外科学  @硬脑膜网状减压术

Experience on large trauma craniotomy with duralnetted incision decompression treatment in 35 cases of acutecraniocerebral trauma complicated with brain swelling
Affiliation:Department of Neurosurgery,Affiliated Hospital of Shaanxi TCM College(Xianyang 712020) Hu Zhenyuan Zhou Feng Zhang Yi et al
Abstract:Objective:To investigate the efficacy and application value of the large trauma craniotomy with dural netted incision decompression in treatment of acute craniocerebral trauma complicated with brain swelling. Methods: 35 patients who suffer eraniocerebral trauma complicated with acute brain swelling were treated by large trauma craniotomy Combined with dural netted incision decompression . Results :According to GOS classification standards, the death of 20 eases (57.10%), wellability of 8 cases (40%), medium disability in 2 cases (1%), severe disability in 2 cases (1%), plant survival of Example 1 (0.5%). Conclusion:It is an effective way that using the large trauma craniotomy with dural netted incision decompression treatment of brain injury complicated with acute brain swelling.
Keywords:Brain injuries Brain edema/complications Brain edema/surgery @Dural nettedincision decompression
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