双额叶脑挫裂伤42例治疗体会

The treatment experience of the contusion and laceration of double frontal lobes in 42 cases

目的：探讨双额叶脑挫裂伤合理治疗方法。方法：对2011年1月至2013年10月收治的42例双额叶脑挫裂伤患者的临床资料进行回顾性分析。其中非手术治疗18例,手术治疗24例。结果：所有患者均随访0.5~1年,按照格拉斯哥预后评分标准：良好35例,中残4例,重残2例,病死1例。结论：对双额叶脑挫裂伤患者要高度重视,严密观察意识、瞳孔情况,必要时进行颅内压监测及动态头颅CT复查,正确掌握手术适应证和积极的综合治疗是治疗关键。

Objective：To explore the rational treatment of the contusion and laceration of double frontal lobes. Methods：The clinical data of 42 patients with contusion and laceration of double frontal lobes were analyzed retrospectively from January 2011 to October2013. Twenty-eight cases and 24 cases were treated with operation and non-operation,respectively. Results：All patients were followedup for 6 months to 1 year. Good in 35 cases,moderate disability in 4 cases,severe disability in 2 cases and death in 1 case were found by the Glasgow outcome scale. Conclusions：The patients with contusion and laceration of double frontal lobes should be greatly paid attention,the pupils of patients should be strictly observed,and the monitoring intracranial pressure and reexamining dynamic skull CT are implemented when it be needed. Correctly grasping the operation indication and active treatment are the key to the treatment.