重症小脑梗死的手术治疗

Operative Treatment of Severe Cerebellar Infarction

目的探讨重症小脑梗死的手术治疗。方法整群选取2009年10月—2015年10月该院收治的15例大面积小脑梗死患者行侧脑室枕角穿刺外引流术+后颅窝去骨瓣减压术治疗。结果 14例术后清醒,其中术后24 h清醒者2例,术后72 h清醒者3例,术后7 d清醒者2例,术后14 d清醒者7例,1例术后4 d死亡。结论大面积小脑梗死应尽早、积极手术治疗,侧脑室枕角穿刺外引流术+后颅窝去骨瓣减压术是治疗大面积小脑梗死的有效治疗方法。

Objective To discuss the operation treatment of severe cerebellar infarction. Methods 15 cases of patients with large cerebellar infarction admitted and treated in our hospital from October 2009 to October 2015 were treated with lateral ventricle occipital horn puncture external drainage and posterior cranial fossa？ds decompressive craniectomy. Results 14 cases were conscious after operation, 2 cases were conscious at 24 h after operation, 3 cases were conscious at 72 h after operation, 2 cases were conscious on 7d after operation, 7 cases were conscious on 14 d after operation, 1 case died on 4d after operation. Conclusion Large cerebellar infarction should be given active operation treatment as soon as possible, lateral ventricle occipital horn puncture external drainage and posterior cranial fossa ds decompressive craniectomy is an effective method of treating large cerebellar infarction.