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额叶挫裂伤78例救治体会
http://www.100md.com 2011年11月1日 健康必读·下旬刊 2011年第11期
     【中图分类号】R45 【文献标识码】A 【文章编号】1672-3783(2011)11-0079-01

    【摘要】目的:探讨额部脑挫裂伤的临床特点、手术指征的选择及治疗。方法:我院自2008年2月至2011年9月共诊治78例额叶挫裂伤手术患者。结果:按格拉斯哥预后评分标准(GOS)评级。本组患者治疗后存活72例,随访3个月~3年,平均1年。按GOS评分:良好65例,中度残疾5例,重度残疾2例,死亡4例。结论:额叶挫裂伤较其他部位的挫裂伤有特殊性,额叶挫裂伤手术指征有规律可循,通过实践,我们总结并制定出的额叶挫裂伤手术指征临床可行且具有指导意义。

    【关键词】额叶挫裂伤;救治;体会

    【Abstract】Objective: To investigate the frontal brain contusion of the clinical features, surgical indications and treatment options. Methods: In our hospital from February 2008 to September 2011 a total of 78 cases of frontal contusion diagnosis and treatment of surgical patients. Results: According to Glasgow Outcome Scale criteria (GOS) rating. This group of patients survived after treatment, 72 patients followed up for 3 months to 3 years, an average of 1 year. According to GOS score: good in 65 cases, moderate disability in 5 cases, severe disability in 2 cases, 4 deaths. Conclusion: compared with other parts of the frontal lobe contusion contusion with particularity, the frontal lobe contusion surgical indications there is a pattern, through practice, we conclude that the frontal lobe contusion and to develop viable clinical indications for surgery and instructive. ......

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