颅骨缺损患者再次颅脑创伤的临床特点

The clinical characteristics and treatment of head trauma patients with skull defect

目的 探讨颅骨缺损患者再次发生颅脑创伤的临床特点与救治策略.方法 回顾我院1993年1月至2009年1月收治的47例颅骨缺损患者再次颅脑创伤病例资料,分析其临床特点与治疗方案.结果 颅骨缺损患者再次发生颅脑创伤的部位大多在减压窗周围,由于骨窗的存在,与普通颅脑创伤相比,具有脑损伤重,临床症状相对较轻,疗效相对较好的特点.与伤前神经功能相比,恢复良好26例,轻残13例,中残5例,重残2例,死亡1例.结论 根据伤情,正确选择治疗方法,严格把握手术适应证,采取恰当的手术方式,能够取得相对较好的治疗效果.

Objective To investigate the clinical characteristics and therapeutic of head trauma patients with skull defect. Method A retrospective study of clinical data of 47 brain injury patients with skull defect in our hospital from Janary 1993 to Janary 2009 was performed. Results Compared with preinjury neurological function,a good recovery in 26 cases,light residual 13 cases,the miserable in 5 cases,severe disabiltity in 2 cases, and 1 died. Conclusions Good outcome can be achieved by choicing proper theraputics according to the state of an injury, and performing correct operations.