| 双额叶脑挫裂伤并发中央型脑疝53例诊治体会 |
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| 引用本文： | 沈佳,殷怀明,杨渭林,毛伟,裘申忠. 双额叶脑挫裂伤并发中央型脑疝53例诊治体会[J]. 中国初级卫生保健, 2011, 25(2): 93-94 |
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| 作者姓名： | 沈佳 殷怀明 杨渭林 毛伟 裘申忠 |
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| 作者单位： | 富阳市人民医院,浙江,富阳,311400 |
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| 摘 要： | 目的探讨双额叶脑挫裂伤并发中央型脑疝的临床诊治特点。方法回顾分析2004年4月—2010年9月期间我院收治的双额叶脑挫裂伤并发中央型脑疝的患者53例,对其临床表现、影像学特点以及治疗方案进行总结分析,并比较分析手术治疗患者的存活率以及格拉斯哥昏迷评分（GCS）评分情况。结果通过8～14个月的随访,与对照组相比,观察组患者存活率明显增加,差异均具有统计学意义（P〈0.05）,而观察组患者治疗效果良好的比率明显提高,差异具有统计学意义（P〈0.05）,而轻残、重残、植物生存以及死亡的比率比较均不具有统计学意义（P〉0.05）。结论对于双侧额叶脑挫裂伤未达到手术指征的患者仍需采用保守治疗,但同时要严密观察患者的病情变化,尤其是意识和瞳孔的变化情况,并及时进行CT复查,辅助了解颅脑情况,以避免丧失最佳的手术时机,进而有效地提高治疗效果以及患者的生存质量。
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| 关 键 词： | 双额叶脑挫裂伤 中央型脑疝 临床表现 |
Clinical Diagnosis and Treatment of Bilateral Frontal Brain Contusion Complicated by Central Brain Herniation |
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| SHEN Jia,YIN Huai-ming,YANG Wei-lin,et al.. Clinical Diagnosis and Treatment of Bilateral Frontal Brain Contusion Complicated by Central Brain Herniation[J]. Chinese Primary Health Care, 2011, 25(2): 93-94 |
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| Authors: | SHEN Jia YIN Huai-ming YANG Wei-lin et al. |
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| Affiliation: | SHEN Jia,YIN Huai-ming,YANG Wei-lin,et al.People's Hospital of Fuyang in Zhejiang,Fuyang,Zhejiang,311400,China |
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| Abstract: | OBJECTIVE To probe into the clinical features of bilateral frontal brain contusion complicated by central brain herniation.METHODS Review of April 2004 to September 2010 period,our hospital bilateral frontal brain contusion complicated by central brain herniation in 53 patients,the clinical manifestations,imaging characteristics and treatment were analyzed,and comparative analysis of conservative treatment and surgical treatment and survival of patients with GCS score situation.RESULTS By 8 to 14 months of ... |
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| Keywords: | bilateral frontal brain contusion central brain herniation clinical manifestations |
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