对冲性额底部脑挫裂伤60例诊治分析

Analysis of 60 cases contre-coup lesion bottome-prefrontalLobe cerebral contusion and laceration

目的探讨对冲性前额叶底部脑挫裂伤动态复查头颅CT的时间及手术指征的把握。方法对60例对冲性额叶底部脑挫裂伤患者临床资料进行回顾性分析。结果治愈33例,中残12例,重残7例,死亡8例。结论前额叶底部脑挫裂伤患者入院时多数患者意识障碍程度相对较轻,但在救治过程中病情发展多变,动态复查头颅CT,血肿有进展或挫裂伤周围水肿范围扩大明显者,尽早手术清除坏死脑组织、去骨瓣减压,可有效提高患者的治愈率。

Objective To explore the time - grasping of dynamic review CT in contre - coup lesion bottome - prefrontal lobe cerebral contusion and laceration, and the grasping of the operation pointer. Methods 69 patients with contre - coup lesion bottome - prefrontal lobe cerebral contusion and laceration were enrolled in our hospital, data from patients＇clinical records were analysed restrospectively. Results Among the 60 patients, 33 patients were cured, 12 patients were moderate disability,7 patients were severe disability,8 patients were dead. Conclusion Most of the patients＇unconscionsness were mildly when taken to hospital. But during the treatment, the clinical symptoms and signs were always changing. We could monitor the extending of the intracranial hematoma and brain edema rage by dynamic review. Do operation to clean up the damage brain tissue and decompress craniectomy once the patients＇ condition become worse can effectively increase the success rate of curing.