急性硬膜下血肿合并脑挫裂伤早期手术预后分析

Analysis of Early Surgical Prognosis of Acute Subdural Hematoma Complicated with Contusion and Laceration of Brain

目的探讨对急性硬膜下血肿合并脑挫裂伤患者行早期手术治疗的效果。方法随机抽取于2010年1月—2016年12月期间在该院接受手术治疗的36例急性硬膜下血肿合并脑挫裂伤患者作为对象,对患者临床资料进行回顾性分析,观察手术疗效及预后效果。结果 10例患者接受早期手术后,恢复良好为4例,中度残废为6例;26例患者在有绝对手术指征时接受手术治疗后,中度残疾为2例,严重残疾为13例,植物状态为5例,死亡为6例。早期手术治疗的预后显著优于有绝对手术指征时接受手术(P<0.05)。结论对急性硬膜下血肿合并脑挫裂伤患者行早期手术治疗,可促进患者预后效果得到有效提升,降低死亡率,提高患者生活能力。

Objective This paper tries to investigate the effect of early surgical treatment for acute subdural hematoma complicated with contusion and laceration of brain. Methods 36 cases of acute epidural patients with brain contusion and laceration received surgical treatment in this hospital from January 2010 to December 2016 were randomly selected, the clinical data were retrospectively analyzed, the effect of surgical treatment and prognosis were observed. Results 4 cases were recovered well, 6 cases were moderate disabled among the 10 patients who received early postoperative recovery; among the 26 patients in absolute surgery syndrome, 2 cases were moderate disabed, 13 cases of severe disability, 5 cases in vegetative state, 6 cases of death. The prognosis of early surgical treatment is significantly better than that of absolute operation indication（P 0.05）. Conclusion Early surgical treatment for patients with acute subdural hematoma combined with contusion and laceration of the brain can promote the prognosis of the patients, improve the prognosis effectively, reduce the mortality, and improve the living ability of the patients.