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外侧裂区大面积脑挫裂伤26例临床分析
http://www.100md.com 2011年10月1日 《中国健康月刊·B版》 2011年第10期
     【摘要】目的 外侧裂区大面积脑挫裂伤,在重型颅脑损伤中占有相当比例,以病情进展快、死亡率高为特点,目前是神经外科面对的难题,就如何提高治愈率,减少并发症方面,进行有益的总结和探讨。提出了一些个人见解,总结了该型脑外伤的系统治疗方案。方法 通过26例男18例,女8例,年龄18~65岁,平均31岁。受伤原因:车祸伤23例,高处坠落伤3例。受伤方式:加速伤4例,减速伤22例。临床分析总结,结果 按GOS评分本组死亡9例,其中术中发生脑膨出病例中死亡5例,植物生存1例,重残2例,中残4例,良好10例。死亡率34.6%。与其它报道相比取得了较好的效果。

    【关键词】外侧裂 大面积 脑挫裂伤

    中图分类号:R651.152文献标识码:B文章编号:1005-0515(2011)10-079-02

    【Abstract】Objective lateral fissure of cerebrum large acrocentric contusion and laceration of brain, in a heavy head injuries damage of a considerable proportion to his progress and high mortality rate, which is characteristic of neurosurgery, the question of how to improve recovery rate and complications, a good summary and explore. a few personal views and reviewed the types of brain trauma treatment systems. Methods by 26 case of the 18, eight cases, the age of 18 ~ 65, on average 31 years old. the reason for the injured : 23 High fall wounded in the three cases. the way up the wound : four to, decelerate injury, 22 cases. clinical analysis and summary Results GOSgrade 9 cases, distant metastases. death in a brain bulging 5 cases of death, and plant life, one or two examples of the four and a good 10 34.6%. the mortality rate. compared with the rest of the report has achieved good results. ......

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