进行性出血性脑损伤手术时机探讨.docVIP

PAGE PAGE 1 进行性出血性脑损伤手术时机探讨 刘 滨，杨涛，杨波，张义、刘世强，苗露（解放军第148 医院 神经外科，山东 淄博 255300） 摘要：目的 探究进行性出血性脑损伤的最佳手术时机，以提高临床治疗成功率，降低致残率及死亡率。方法 将我院神经外科自2013年1月至2014年2月间收治的148例进行性出血性脑损伤患者根据其手术时机的不同分为观察组及对照组，各74例。观察组患者手术时间距其受伤时间短于24h，对照组手术时间距离受伤时间长于24h，分析两组患者的临床治疗效果及并发症发生情况。结果 观察组患者临床治疗有效率为91.9%，明显高于对照组（79.7%），具有统计学意义；并发症发生率方面，观察组并发症发生率为6.8%，明显低于对照组（14.9%），存在差异。结论 在伤后及时复查颅脑CT，并在24h内实施开颅手术能够有效的提高进行性出血性脑损伤患者的临床治疗有效率，降低并发症的发生率，改善患者预后。 关键词：进行性出血性脑损伤；手术时机；临床疗效 To discuss?operation timing of progressive hemorrhagic brain injury Liu Bin,Yang Tao,Yang Bo,Zhang Yi,Liu Shi-qiang,Miao Lu(Department of Neurosurgery, PLA 148th Hospital,Zibo Shandong 255300,China) Abstract:Purpose To explore optimal operation timing of progressive hemorrhagic brain injury，in order to improve the clinical treatment success rate and reduce the morbidity and mortality.Methods 148 patients with progressive hemorrhagic brain injury according to its operation time were divided into observation group and control group, and each group including 74 cases.The preoperative time of observation group for the onset of illness to surgery was within 24h，and control group was more than 24h.In the end，we need to explore the clinical therapeutic effect and complications of two groups.Results Observation group of patients with the clinical effective rate was 91.9%, and it was significantly higher than the control group (79.7%)with statistical significance.In terms of the incidence of complications, the complication rate of observation group was 6.8%, which was significantly lower than the control group (14.9%), and there are differences.Conclusion Timely review of craniocerebral CT, and within 24 h surgical operation can effectively improve the clinical treatment in patients with progressive hemorrhagic brain injury effectively, reduce the incidence of complications, and improve the prognosis of patients. Key words：Progressive hemorrhagic brain injury（PHI）；Operation timing；Clinical effects 进行性出血性脑损伤（PHI）是指颅脑损伤后