外伤性颅内多发血肿给予双侧开颅的外科干预效果观察

Effect observation of bilaterall decompressive craniotomy surgical intervention in traumatic intracranial hematoma

目的:观察外伤性颅内多发血肿给予双侧开颅的外科干预效果。方法:收治外伤性颅内多发血肿患者80例,分为观察组和对照组。观察组给予Ⅰ期双侧开颅手术,对照组给予分期开颅手术。观察治疗效果,术后半年电话随访,观察病死率、残疾情况。结果:观察组格拉斯哥预后评分、手术时间明显多于对照组,住院时间、病死率、残疾率、并发症明显低(少)于对照组。结论:对于外伤性颅内多发血肿患者,应尽早采取手术治疗,Ⅰ期手术具有明显治疗效果,彻底清除血块及颅内积液,提高患者的存活率。

Objective:To observe the effect of bilaterall decompressive craniotomy surgical intervention in traumatic intracranialhematoma.Methods:80 patients with traumatic intracranial hematoma were selected.They were divided into the observation groupand the control group.The observation group was given the first stage bilateral craniotomy operation.The control group was givenstaged craniotomy operation.The treatment effect was observed.Telephone follow-up six months after surgery,the mortality anddisability were observed.Results:The Glasgow prognosis score, operation time of the observation group were significantly higherthan those of the control group;the hospitalization time,mortality,disability and complication were significantly lower than those ofthe control group.Conclusion:For patients with traumatic intracranial hematoma,operation treatment should be taken as early aspossible.The first stage operation has obvious treatment effect,completely remove the blood clots and intracranial effusion,andimprove the survival rate of patients.