双额叶脑挫裂伤所致脑中心疝68例抢救报告

Report on the rescue of brain centre hernia caused by double frontal lobe contusion and laceration in 68 cases

目的:探讨双额叶脑挫裂伤所致脑中心疝的抢救与治疗。方法:对68例双额叶脑挫裂伤所致脑中心疝的患者的临床资料进行回顾性分析。结果:对68例双额叶脑挫裂伤并发脑中心疝的患者经治疗后挽救生命55例,死亡13例,间脑期手术效果最好。结论:双额叶脑挫裂伤一旦出现脑中心疝,死亡率或病残率高,应在伤后严密观察病情,监测生命体征,尤其注意瞳孔变小的情况出现,警惕迟发型脑中心疝的发生,间脑期及时手术是提高疗效的关键。

Objective： To research into the rescue and treatment of brain centre hernia caused by double frontal lobe contusion and laceration. Methods： Using analysis of clinical data by looking back on the patients with brain centre hernia caused by double frontal lobe contusion and laceration. Results： 55 lives were saved and 13 died after treating the 68 patients with double frontal lobe contusion and laceration. Best treatment appeared in the interval period. Conclusion： Once brain centre hernia appears because of double frontal lobe contusion and laceration of the brain,the rate of death and disability is high. Close observation should be done ,checking vital signs of life , especially taking notice of the pupil becoming small and watching out for the occurrence of tardive brain centre hernia and Diencephalons period should be the key period for salvage.