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标准外伤大骨瓣开颅术在脑梗死所致脑疝中的应用
引用本文:叶伟,赵岩,李永利,王社军,曲利群,宋世波,万聪,杨立庄. 标准外伤大骨瓣开颅术在脑梗死所致脑疝中的应用[J]. 哈尔滨医科大学学报, 2002, 36(5): 386-387
作者姓名:叶伟  赵岩  李永利  王社军  曲利群  宋世波  万聪  杨立庄
作者单位:1. 哈尔滨医科大学第二临床医学院,神经外科,黑龙江,哈尔滨,150086
2. 拜泉县人民医院,黑龙江,拜泉,161700
3. 肇东市骨伤医院,黑龙江,肇东,151100
摘    要:目的:探讨大面积脑梗死所致脑疝的手术方法。方法:对大面积脑梗死所致早、中期小脑幕切迹疝采用标准外伤大骨瓣开颅术及非功能区切除术。结果:12例中10例存活,智能近正常,其中6例能独立生活。结论:标准外伤大骨瓣开颅术是治疗脑梗死所致脑疝的有效方法。

关 键 词:外伤瓣 脑梗死 小脑幕切迹疝
文章编号:1000-1905(2002)05-0386-02
修稿时间:2001-12-21

Application of standard large trauma craniotomy in the management of transtentorial herniation due to massive cerebral infarction
YE Wei,ZHAO Yan,LI Yong li,et al. Application of standard large trauma craniotomy in the management of transtentorial herniation due to massive cerebral infarction[J]. Journal of Harbin Medical University, 2002, 36(5): 386-387
Authors:YE Wei  ZHAO Yan  LI Yong li  et al
Abstract:Objective To discuss the surgical procedures in the treatment of the transtentorial herniation due to massive cerebral infarction. Methods Standard large trauma craniotomy and excision of non functional brain tissue were used.Results Ten of twelve patients survived, the intellectual response was near normal.Six of them could live in dependantality.Conclusion The procedure of the standard large trauma craniotomy is of effective surgical intervention for the treatment of transtentorial herniation.
Keywords:trauma flap  cerebral infarction  transtentorial herniation
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