标准大骨瓣减压加血管通道的建立治疗重型颅脑损伤

Large craniotomy and vascular creation for treating severe craniocerebral injury

目的探讨标准大骨瓣减压加血管通道的建立在重型颅脑损伤治疗中的应用。方法对35例经CT证实为重型颅脑损伤患者(GCS<8分)采用标准大骨瓣减压加明胶海绵支架建立血管通道方法治疗。结果35例患者恢复良好21例(60%),伤残10例(29%),死亡4例(11%)。结论标准大骨瓣减压加血管通道的建立是治疗重型颅脑损伤、防止缺血性脑梗死的有效方法。

Objective To study the effect of large craniotomy and vascular tunnel creation on severe craniocerebral injury Methods 35patients with severe craniocerebral injury （GCS〈8） by CT were treated by large craniotomy and vascular tunnel creation with gelatin sponge. Results 21 cases recovered（60 %）, 11 cases were imorbidity（29 %） and 3 cases died （11%）. Conclusion. Large craniotomy and vascular tunnel creation is an effective method to patients with severe craniocerebral injury and releasing cerebral infarction .