52例重度颅脑损伤大骨瓣减压治疗的临床分析

Clinical effect of big bone flap pressure reduction operation on 52 patients with severe brain injury

目的:探讨大骨瓣减压治疗重度颅脑损伤的临床治疗效果。方法:对52例重度颅脑损伤(GCS≤8分)患者的临床资料及大骨瓣减压治疗效果进行回顾性总结分析。结果:生存47例,其中恢复良好28例(53.8%),中残11例(21.2%),重残以及植物状态者8例(15.4%),死亡5例(9.6%)。结论:大骨瓣减压术可使脑组织得到充分减压,有效保护脑功能,明显改善重度颅脑损伤患者的预后,降低病死率。

Objective：To explore the clinical effect of big bone flap pressure reduction operation on severe brain injury.Methods：To analyze the clinical data of 52 patients with severe traumatic brain injury（GCS ≤8 points） and the treatment effect of hemicraniectomy retrospectively.Results：47 cases survived,among which,28（53.8%） cases had good prognosis,11（21.2%） cases middle handicapped,8（15.4%） cases severely handicapped and lived as plant,5（9.6%） cases dead.Conclusion：Big bone flap pressure reduction operation can fully reduce the pressure,effectively protect brain function,markedly improve the prognosis of the said disease,and decrease death rate.