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外伤性脑疝前驱期特征性临床征象及意义
引用本文:周克城,林源泉,陈平,陈学群,李锋,陈旭鸿,罗坚,黎映静. 外伤性脑疝前驱期特征性临床征象及意义[J]. 中国基层医药, 2006, 13(2): 247-248
作者姓名:周克城  林源泉  陈平  陈学群  李锋  陈旭鸿  罗坚  黎映静
作者单位:1. 518115,广东省深圳,深圳市龙岗区横岗人民医院神经外科
2. 广东省深圳市龙岗区中心医院神经外科
3. 广东省深圳市龙岗区中心医院外科
摘    要:目的分析总结外伤性脑疝前驱期特征性临床征象及意义。方法回顾性分析204例外伤性脑疝发生前2h内的临床征象,并与同期未发生脑疝的183例颅脑损伤作分析比较。结果脑疝组前驱期征象如昏迷加深、烦躁加重、尿失禁、侧脑室和外侧裂受压变窄伴环池及三脑室受压变窄、生命体征改变具有特征性,其发生率明显高于非脑疝组,两组差异有显著意义(P〈0.01)。结论颅脑损伤患者出现脑疝前驱期特征性临床征象应作为超早期开颅的重要依据,是特殊的、迫切的手术指征。

关 键 词:脑疝 临床征象 手术指征 外伤性脑疝 前驱期
收稿时间:2005-08-30
修稿时间:2005-08-30

The characteristic clinical sign and symptoms with its significance of traumatic brain hernia in prodromal period
ZHOU Ke-cheng,LIN Yuan-quan,CHEN Ping,CHEN Xue-qun,LI Feng,CHEN Xun-hong,LUO Jian,LI Ying-jing. The characteristic clinical sign and symptoms with its significance of traumatic brain hernia in prodromal period[J]. Chinese Journal of Primary Medicine and Pharmacy, 2006, 13(2): 247-248
Authors:ZHOU Ke-cheng  LIN Yuan-quan  CHEN Ping  CHEN Xue-qun  LI Feng  CHEN Xun-hong  LUO Jian  LI Ying-jing
Affiliation:Department of Neurosurgery , Shenzhen Henggang Hospital, Shenzhen , Guangdong ,518115, China
Abstract:Objective To study the characteristic clinical sign and symptoms of the traumatic brain hernia in prodromal period.Methods To andle all the clinical sign and symptoms before traumatic brain hernia 2 hours of 204 cases patients,and compare to another 183 cases brain injury.Results The characteristic clinicl sign and symptoms,such as coma,restlessness,enuresis,and so on,had arisen more in the brain hernia group(P<0.01).Conclusion Attach importance to the characteristic clinical sign and symptoms of the brain injury patients,and operative quickly,it is important to improve the treatment effect.
Keywords:Brain hernia   Clinical sign and symptoms   Operative indication
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