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标准外伤大骨瓣开颅术在重型颅脑损伤救治中的应用 被引量:149

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摘要 近年来的临床研究显示标准外伤大骨瓣手术能使重型颅脑损伤病人死亡率显著下降。标准外伤大骨瓣暴露范围广,能清除约95%单侧幕上急性颅内血肿,彻底清除坏死组织,有效降低颅内压,改善脑血流和脑组织氧分压,尤其适用于广泛额颞顶脑挫裂伤和急性硬膜下血肿伴有颅内高压的病人。临床研究显示标准外伤大骨瓣手术的并发症发生率相对较低,其近期并发症主要有迟发性血肿、局部脑水肿加重和脑膨出,后期可有脑软化、脑穿通畸形、脑积水及癫痫等。但由于目前报道病例数仍相对较少,致残率仍较高,因此需要进一步前瞻性随机对照研究来明确其临床应用价值。
出处 《国外医学(神经病学.神经外科学分册)》 2002年第3期204-206,共3页 Foreign Medical Sciences(Section On Neurology & Neurosurgery)
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