标准大骨瓣开颅术治疗急性外伤性硬膜下血肿疗效分析.docVIP

精品论文 参考文献 标准大骨瓣开颅术治疗急性外伤性硬膜下血肿疗效分析 路敏 　　（青白江区人民医院 四川 成都 610300） 　　【摘要】 目的：探讨分析在急性外伤性硬膜下血肿治疗中标准大骨瓣开颅术的应用疗效。方法：选取我院于2014年3月至2015年9月收治的70例急性外伤性硬膜下血肿手术患者，将其分为对照组与观察组，对照组患者接受常规开颅术治疗，观察组患者接受标准大骨瓣开颅术治疗，比较两组患者的临床疗效及术后颅内压情况。结果：观察组患者术后疗效明显好于对照组患者，颅内压明显低于对照组患者，两组患者数据经对比后差异具有统计学意义（P＜0.05）。讨论：标准大骨瓣开颅术在急性外伤性硬膜下血肿患者治疗中具有较好的临床应用效果，值得推广应用。 　　【关键词】 标准大骨瓣开颅术；急性；外伤性；硬膜下血肿 　　【中图分类号】R472 【文献标识码】A 【文章编号】2095-1752（2016）17-0015-02 　　Analysis of standard large trauma craniotomy in the treatment of acute traumatic subdural hematoma 　　Lu Min. 　　Peoples Hospital of Qingbaijiang District, Sichuan Province, Chengdu 610300, China 　　【Abstract】Objective To investigate the application effect analysis of standard in the treatment of acute traumatic subdural hematoma craniotomy. Methods Patients with hematoma surgery in our hospital from March 2014 to September 2015 were 70 cases of acute traumatic subdural, divided into control group and observation group, the control group received routine craniotomy after treatment, the patients in the observation group received standard large trauma craniotomy treatment, compared the clinical efficacy and the operation of the two groups of patients after intracranial pressure. Results The patients in the observation group after treatment were significantly better than control group patients, intracranial pressure was significantly lower than the control group patients, two groups were compared after data differences were statistically significant (P lt; 0.05). Discuss Standard large trauma craniotomy has good clinical effect in acute traumatic subdural hematoma in the treatment of patients, it is worthy of popularization and application. 　　【Key words】Standard large bone flap craniotomy; Acute; traumatic; Subdural hematoma 　　急性外伤性硬膜下血肿是目前临床工作中常见的颅脑损伤，大多由交通事故引发，也可由其他各种外伤造成。绝大多数是由于枕部受力导致对侧对冲额颞叶损伤，由大脑皮层的动脉挫伤出血所致，常常合并严重的脑挫裂伤，病死率相对较高，据某些学者统计，可以达到39%左右，其病死率高于硬膜外血肿[1]。对于严重急性外伤性硬膜下血肿治疗，手术仍然是目前首选方法。（目前急性外伤性硬膜下血肿手术指针仍存在争议，多数学者认为以下几种严