额叶对冲性脑损伤20例临床分析

目的分析额叶对冲性脑损伤的临床特点及治疗方法。方法额叶对冲性损伤患者20例，手术治疗14例，手术方式据损伤部位取冠状切口单侧开颅6例，大冠状切口双测开颅8例。术中彻底清除血肿及脑挫裂伤灶，辅以必要的去骨瓣减压术。保守治疗6例，包括亚低温、脱水降颅压、激素及抗生素等综合治疗。结果恢复良好15例，中残2例，重残2例，死亡1例。结论额叶对冲伤具有较为独特的临床特点。应充分认识其特点，积极处理，提高治愈率，降低致残率及死亡率。

Clinical analysis of 20 patients with frontal lobe hedge brain injury

Objective To analyze the clinical characteristics and treatment methods for the frontal lobe hedge cerebral injury. Methods Twenty patients with frontal lobe hedge brain injury were included in the study, with 14 receiving surgical treatment. Among them 6 patients received coronary incision unilateral craniotomy, and the remaining 8 received coronal incision double mea- suring craniotomy. In the process of the operation, hematoma and laceration of brain lesions were completed removed with necessary adjuvant therapy of bone flap decompression. Six patients re- ceived conservative treatment, including the comprehensive treatment about low temperature, dehy- dration drop cranial pressure, hormones and antibiotics and etc. Results Fifteen patients recovered well, 2 with moderate disability, 2 with severe disability, and 1 with death. Conclusion The frontal lobe hedge injury has relatively unique clinical characteristics, and its characteristic should be fully understood in order to take positive treatment, improve cure rate, reduce morbidity and mor- tality.