标准大骨瓣开颅术治疗额颞部对冲性脑损伤并迟发血肿

Standard Trauma Craniotomy Treatment of Frontotemporal Cnotra-coup Craniocerebral Injury and Delayed Intracranial Hematoma

目的:探讨大骨瓣开颅减压术在额颞部对冲性脑损伤并迟发血肿治疗中的应用。方法:采用标准大骨瓣开颅术治疗额颞顶对冲性脑损伤并迟发血肿29例,术后均入神经外科重症监护,并给予保持呼吸道通畅、脱水、护脑、对症、支持等治疗。结果:存活21例,其中良好13例,中残4例,重残4例;死亡8例。结论:标准大骨瓣开颅术是治疗额颞部对冲性脑损伤并迟发血肿所致难以控制颅内高压的有效方法。

Objective： To evaluate standard trauma craniotomy treatment of frontotemporal cnotra-coup craniocerebral Injury and delayed intracanial hematoma. Methods：Twenty-nine patients with frontotemporal cnotra-coup craniocerebral Injury and delayed intracanial hematoma were treated by standard trauma craniotomy. All patients were sent to NICU and acquired general therapy of a smoothing airway, dehydration. Results： Among them 21 patients survived, including 13 with good recovery and 4 with moderate disability,4 with severe disability,while other 8 patients died. Conclusion：Early standard trauma craniotomy should be a good therapeutic method for frontotemporal cnotra-coup craniocerebral Iniury and delayed intracanial hematoma.