| 外伤性全前循环梗死减压性手术临床观察 |
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| 引用本文： | 张力伟,杨国瑞.外伤性全前循环梗死减压性手术临床观察[J].中国康复理论与实践,2004,10(7):391-392. |
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| 作者姓名： | 张力伟 杨国瑞 |
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| 作者单位： | 1. 100050,北京市,首都医科大学附属北京天坛医院神经外科
2. 110001,辽宁沈阳市,中国医科大学第一临床医院神经外科 |
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| 基金项目： | 北京市自然科学基金，北京市优秀人才基金(北自然70 0 2 0 1 2 ) |
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| 摘 要： | 目的探讨颞肌下减压性手术治疗外伤性全前循环梗死的临床意义。方法对 2 4例外伤性全前循环梗死患者行颞肌下减压性手术 ,对其CT扫描特点、术前病侧颞浅动脉的搏动情况、术中颅压分型及病侧皮层小动脉血流情况进行分析。结果术后临床症状较术前明显好转 4例 ,无变化 14例 ,死亡 6例。术后 3个月内复查CT显示梗死灶减小 4例 ,无变化 9例 ,增大 2例。结论减压性手术既不能减少梗死的范围 ,又不能降低死亡率 ,也无助于神经功能的改善及生存质量的提高
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| 关 键 词： | 脑外伤 前循环 脑梗死 减压性手术 |
| 文章编号： | 1006-9771(2004)07-0391-02 |
| 修稿时间： | 2004年5月17日 |
What is significance of subtemporal decompression in the traumatic total anterior circulation infarcts |
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| ZHANG Li wei,YANG Guo rui.What is significance of subtemporal decompression in the traumatic total anterior circulation infarcts[J].Chinese Journal of Rehabilitation Theory and Practice,2004,10(7):391-392. |
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| Authors: | ZHANG Li wei YANG Guo rui |
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| Institution: | ZHANG Li wei,YANG Guo rui. Department of Neurosurgery,Beijing Tiantan Hospital,Capital University of Medical Sciences,Beijing 100050,China |
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| Abstract: | Objective To explore clinical significance of subtemporal decompression in traumatic total anterior circulation infarcts(TTACI).Methods 24 TTACI cases accepted subtemporal decompression were analyzed including CT scan feature, pre operative observation to temporal superficial artery, operative cranial pressure classification and blood circulation in cortical small artery.Results Clinical symptom compared between before and after operation: good 4 cases, unchanged 14 cases, dead 6 cases. CT scan showed infarct areas became smaller in 4 cases, unchanged in 9 cases, larger in 2 cases three months after operation. Conclusion Subtemporal decompression cannot reduce the areas of infarcts and mortality, nor improve neurological function and promote quality of survivor. |
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| Keywords: | cranial injures anterior circulation cerebral infarcts decompression |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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