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创伤性颅骨缺损成形术中国专家共识 被引量:49

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摘要 成人创伤性颅骨缺损(以下简称:颅骨缺损)是由于凹陷性粉碎性颅骨骨折、开放性颅脑损伤、重型闭合性颅脑创伤合并难治性颅高压而行去骨瓣减压术等所致.较大范围的颅骨缺损患者因大气压使局部头皮下陷,可能会导致颅内压的不平衡、脑组织移位以及大脑半球血流量减少和脑脊液循环紊乱,从而引起一系列的临床表现,主要包括:头痛、眩晕、易激惹、癫痫、无其他原因可解释的不适感和各种精神障碍[1-4].颅骨成形术不但能够修复颅骨缺损、恢复患者的头颅外貌和保护功能,还能有效地恢复正常脑脊液动力学和大脑皮质血流灌注,有利于减少颅内并发症,有助于患者的神经功能恢复.
作者 江基尧
出处 《中华神经外科杂志》 CSCD 北大核心 2016年第8期767-770,共4页 Chinese Journal of Neurosurgery
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