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标准外伤大骨瓣减压术治疗重型颅脑损伤96例分析
http://www.100md.com 2007年8月1日 《中外健康文摘·临床医师》 2007年第8期
     【中图分类号】R651.1 【文献标识码】B 【文章编号】1672-5085(2007)08-0040-02

    【摘要】目的:探讨标准外伤大骨瓣减压术治疗重型颅脑损伤的临床效果。方法:对96例重型颅脑损伤患者均采用标准外伤大骨瓣开颅减压术治疗并观察其治疗效果。结果:伤后1年随访,生存73例,其中52例(54.2%)预后良好,中残13例(13.5%),重残6例(6.25%),植物生存2例(2.08%),死亡23例(23.9%)。结论:标准外伤大骨瓣减压术可使脑组织得到充分减压,有效保护脑功能,明显改善重型颅脑损伤患者的预后,降低病死率。

    【关键词】重型颅脑损伤 外科手术 标准大骨瓣The standard flesh wound big bone petal reduced pressure technique treatment heavy craniocerebral damages 96 examples analyses Liu Yongji

    【Abstract】Objective: Discussion standard flesh wound big bone petal reduced pressure technique treatment heavy craniocerebral damage clinical effect. Method: Heavy craniocerebral damages the patient to 96 examples to use the standard flesh wound big bone petal to open the skull reduced pressure technique to treat and to observe its treatment result.Finally: The wound latter 1 year makes a follow-up visit, survives 73 examples, after 52 examples (54.2%) pre-are good, center the remnant 13 examples (13. 5%), the heavy remnant 6 examples (6.25%), the plant survives 2 examples (2.08%), died 23 examples (23.9%). Conclusion: The standard flesh wound big bone petal reduced pressure technique may enable the brain organization to obtain the full reduced pressure, effectively protects the brain function, after the distinct improvement heavy craniocerebral damages the patient pre, reduces the case fatality rate. ......

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