| 外侧裂区脑挫裂伤79例临床分析 |
| |
| 引用本文： | 陈静,卢明,彭立辉,石磊,滕晓华.外侧裂区脑挫裂伤79例临床分析[J].中国现代手术学杂志,2008,12(6):465-467. |
| |
| 作者姓名： | 陈静 卢明 彭立辉 石磊 滕晓华 |
| |
| 作者单位： | 长沙市解放军第163医院神经外科,长沙,410003 |
| |
| 摘 要： | 目的总结外侧裂区脑挫裂伤的治疗经验及疗效。方法回顾性分析79例外侧裂区脑挫裂伤患者的临床资料,行双额冠状瓣开颅13例,单侧额颞大骨瓣开颅66例。24例单纯清除脑内血肿和挫伤脑组织,予硬膜修补;55例血肿清除后行硬膜成形和去骨瓣减压术,其中18例还加行额极和(/或)颞极切除内减压术。结果术后死亡15例,其中脑疝致中枢性衰竭9例,肺部感染2例,消化道出血2例,脑梗塞、脑干血管痉挛1例,晚期并发急性呼吸窘迫综合征1例。64例平均随访5个月(3个月～1年),根据GOS标准:良好44例,中残10例,重残7例,植物生存3例。结论采用标准外伤去大骨瓣减压手术治疗外侧裂区脑挫裂伤能提高手术疗效,术中应注意对外侧裂区血管的保护。
|
| 关 键 词： | 颅脑损伤 减压术 外科 |
Clinical Analysis of Cerebral Contusion in Peri-Sylvian Fissure Area:79 Cases Report |
| |
| CHEN Jing,LU Ming,PENG Li-hui,SHI Lei,TENG Xiao-hua.Clinical Analysis of Cerebral Contusion in Peri-Sylvian Fissure Area:79 Cases Report[J].Chinese Journal of Modern Operative Surgery,2008,12(6):465-467. |
| |
| Authors: | CHEN Jing LU Ming PENG Li-hui SHI Lei TENG Xiao-hua |
| |
| Institution: | CHEN Jing,LU Ming,PENG Li-hui,SHI Lei,TENG Xiao-hua (Department of Neurosurgery,No.163 Hospital of PLA,Changsha 410003,Hunan,China) |
| |
| Abstract: | Objective To summarize the treatment experiences and effects of cerebral contusion in lateral fissure area. Methods The clinical data of 79 cases with cerebral peri-Sylvian contusion was analyzed retrospectively. The open craniotomy was performed via double frontal coronary fenestration in 13 patients and single frontal-temporal large craniotomy in 66 patients. The intracranial hematoma removal and epidural repair was undertaken in 24 cases,and hematoma evacuation plus duraplasty and decompressive craniecto... |
| |
| Keywords: | craniocerebral trauma decompression surgical |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
