标准外伤大骨瓣治疗急重型颅脑损伤的应用.pdfVIP

??32????4?? 安徽医学 2011??4?? Anhui Medical ??? 471 标准外伤大骨瓣治疗急重型颅脑损伤的应用 韩飞 杜向阳 陈 亮桂明 代金龙 ?R猐目的探讨标准外伤大骨瓣对急重型颅脑损伤的治疗效果及总结手术体会。方法对?例急重型颅脑损伤患者，其中 GCS 3-5??19????6??8??4l??????????????????????????????????????????30????15????????7????????????8???????????????? 外伤大骨瓣救治急重型颅脑损伤患者，其手术显露清晰，减压充分，疗效可靠，能改善预后。 [?????????????????????????????????????????????????? ???????．??．??????? ????? The ???? large ??? craniectomy ??? ? the ??? traumatic brain injured ???? ????? ? H??Fei,DuXiangyang,Chert ??昏? Traditional Chinese ???? ofLuan ?剩琇?? ?????? ????? Objective ? investigate the treatment ???? and operation ????? ? ???? large ??? eranieetomy ??? ? the ??? traumatic brain injured patients??Methods? ??? traumatic brain injured ???? ?? ???? ? ???? large ??? ???? ?? treatment??inwhich GCS3??5? cases??GCs6-8? ???甊??? Among the ? eases??30cases recovered ??，? cases ?? ???? severely??7cases ?? ? ????? ???? cases ??．????? The ???? large ??? eranieetomy ??? ? the ??? traumatic brain injured ???? had ???? efficacy??the8urgery exposes ????瑃? reduced ???? ? full??can??? the prognosis?? ??Key??? ??? traumatic brain injured??Standardlarge ??? eraniectomy??Treatment??Prognosis 重型颅脑损伤合并严重脑挫裂伤脑水肿、急性硬膜 小为? cmxl5 ?，均行扩大硬膜腔减张缝合川。局部额、 下血肿、恶性颅高压，其病情急，病死率和致残率高。我 颞脑挫伤碎烂严重的予手术清除。对于双侧脑挫裂伤血 ????2005??10????2010??1????60????????????肿的患者行双侧标准外伤大骨瓣开颅减压治疗。 损伤患者采用美国标准外伤大骨瓣手术治疗，现对其疗 ??术后治疗术后常规积极复苏、止血、预防感染、控 效及治疗体会总结如下。 制颅内压、预防癫痫、对症支持等处理，进一步在神经重