急性外伤性硬膜下血肿并脑疝的临床研究

目的探讨急性外伤性硬膜下血肿并脑疝的救治。方法自2006年1月至2009年10月对78例患者术前快速微创钻孔引流减压,然后尽早大骨瓣开颅以充分减压,缩短伤后至手术的时间,合理高效的救治患者。结果本组患者抢救成功率76.9%,恢复正常生活51.3%,死亡率23.1%。结论创建合理高效的急救流程,争分夺秒做好术前准备,保持呼吸道通畅,维持正常呼吸循环,术前快速微创钻孔引流减压,然后尽早大骨瓣开颅减压等是成功救治的关键。

Analysis of 78 Patients with Cerebral Hernia Caused by Traumatic Intracranial Hematomas

Objective To study the optimal treatment of patients with cerebral hernia caused by traumatic intracranial hematomas.Methods From January 2005 to March 2007,a total of 78 patients with cerebral hernia caused by traumatic intracranial hematomas were treated in the hospital.Reasonable treatment procedures and first aid treatment method were analyzed.Results The successful rate was 76.9%,51.3% of the patients recovered to normal life and the mortality was 23.1%.Conclusion sThe successful approach to treatment of cerebral hernia caused by traumatic intracranial hematomas includes establishing rational and efficient emergency procedures,optimal preoperative preparation,keeping the airway open and maintaining normal breath and circulation,full decompression at an early stage.