大骨瓣减压术治疗硬膜外血肿术后并发脑梗死15例

The clinical analysis towards postoperative epidural hematoma complicating cerebral infarction patients

目的探讨大骨瓣减压术治疗硬膜外血肿术后并发脑梗死患者的临床疗效。方法 30例患者随机分为对照组15例和治疗组15例,治疗组采用标准外伤大骨瓣开颅切口去大骨瓣减压治疗,术后常规内科治疗;对照组采用除治疗组手术治疗以外的常规治疗。结果治疗组GOS评级:Ⅰ级2例;Ⅱ级1例;Ⅲ级2例;Ⅳ级5例;Ⅴ级5例。对照组GOS评级:Ⅰ级3例;Ⅱ级3例:Ⅲ级3例;Ⅳ级5例;Ⅴ级1例。除Ⅲ级、Ⅳ级外,其余两组治疗结果差异均有统计学意义,治疗组患者优于对照组(P<0.05)。结论标准大骨瓣减压手术可有效挽救硬膜外血肿术后脑梗死患者,提高患者生存质量。

Objective To analyze the efficacy of large craniotomy in treatment of epidural hematoma postoperative patients complicated with cerebral infarction. Methods All of 30 patients were randomly divided into 15 cases in the control group treated by standard large trauma craniotomy＇ incision to big bone flap decompression therapy, postoperative routine medical treatmen and 15 cases in the treatment group adopted conventional treatment. Results In addition to class m and IV, the rest differences were statistically significant（P 〈 0.05）, the treatment group were better than the control group. Conclusion Standard large bone flap decompression operation can effectively save the postoperative epidural hernatoma of cerebral in- farction patients, improve the quality of life of patients.