重型颅脑损伤患者术中急性脑膨出的临床分析

目的：对重型颅脑损伤患者术中急性脑膨出的临床分型与治疗进行探讨。方法该研究采取回顾性分析，随机选取2013年2月—2014年1月收治的40例重型颅脑损伤患者的脑膨出症状予以分型分析并采取治疗，对比以上急性颅脑损伤患者的GOS评分情况。结果其中对侧血肿型重型颅脑损伤预后较好，其死亡率仅为10.00%，弥漫性脑肿胀型预后较差，其死亡率高达80.00%，明显较对侧血肿型重型颅脑损伤高，该2组对比差异有统计学意义。结论对于重型颅脑损伤患者予以分型辩证，对患者的预后情况及临床特点具有一定的临床意义。

Severe Craniocerebral Injury Patients with Clinical Analysis of Acute Intra-operative Encephalocele

Objective In patients with severe head injury in the clinical classification and treatment of acute encephalocele were discussed. Methods Our hospital were retrospectively analyzed, in February 2013 to January 2014, 40 cases of pa-tients with severe head injury symptoms of encephalocele classification analysis and take treatment, compare the above GOS scores in patients with acute craniocerebral injury. Results Type in which the contralateral hematoma better prognosis of se-vere craniocerebral injury, the mortality rate is only 10.00%, diffuse brain swelling with poor prognosis, the mortality rate is as high as 80.00%, significantly than the contralateral hematoma type heavy craniocerebral injury is high, the comparison of two groups have obvious difference. Conclusion For patients with severe head injury parting dialectical, the patient's prog-nosis and clinical characteristics has certain clinical significance.