急性外伤性颅内血肿双侧开颅术的临床疗效分析

Clinical analysis of bilateral craniotomy for acute traumatic intracranial hematoma

目的探讨双侧开颅术治疗急性外伤性颅内血肿的临床应用方法及疗效。方法对21例急性外伤性颅内血肿行双侧开颅术患者的临床资料进行回顾性分析。结果术后3个月至半年随访,本组患者恢复良好13例、轻度残疾2例、重度残疾1例、植物生存0例、死亡5例,死亡率为23.8%。结论双侧开颅术治疗急性外伤性颅内血肿应严格掌握手术指征,及早发现及处理迟发性颅内血肿,可有效降低患者的病死率。

Objective To explore the methods and curative effects of bilateral craniotomy for acute traumatic intracranial hematoma. Methods The clinical data of 21 patients with bilateral craniotomy for acute traumatic intracranial hematoma were retrospectively analyzed. Results The follow-up from 3 to 6 months showed 3 patients recovered well,2 mild disability,1 severe disability,non vegetative state and 5 died,the mortality rate was 23. 8%.Conclusion Bilateral craniotomy for acute traumatic intracranial hematoma should grasp the operation indication,finding and treating the delayed intracranial hematoma early would reduce the mortality.