急性外伤性硬膜外血肿并发脑疝的救治体会
【摘要】 目的 探讨急性外伤性硬膜外血肿并发脑疝患者的救治。 方法 对43例急性外伤性硬膜外血肿并发脑疝患者的临床资料进行回顾性分析。结果 所有患者均手术治疗。随访半年并按GOS评估：16例良好，9例中残，5例重残，2例植物生存，11例死亡。结论 尽早手术、去大骨瓣彻底减压及脑疝复位、早期综合治疗是治疗该病的三个关键措施。【关键词】 硬膜外血肿；脑疝；去大骨瓣减压；治疗
Treatment of the acute traumatic epidural hematoma complicated cerebral hernia
ZHENG Zhi，TAN Chun-xiang. Department of Neurosurgery ,Zhuzhou Second Hospital,Hunan 412005,China
【Abstract】 Objective To explore the acute traumatic epidural hematoma complicated cerebral hernia patients treated. Methods 43 cases of acute traumatic epidural hematoma complicated cerebral hernia patients with clinical data were retrospectively analyzed. Results All patients were surgery. Follow-up evaluation and half GOS 16 cases of 9 cases of residual, 5 cases of severe disabilities, 2 cases died, 11 cases of survival. Conclusion Early operation,Large trauma craniotomy and early treatment is the three key measures.
【Key words】 Epidural hematoma; Cerebral hernia; Large trauma craniotomy; Treatment
急性外伤性硬膜外血肿十分常见 ......
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