重型颅脑损伤患者去骨瓣减压术后远期并发症的临床研究

Clinical study of long term complications after decompressive craniectomy for severe craniocerebral injury

目的:探讨重型颅脑损伤患者去骨瓣减压术后远期并发症。方法:收治重型颅脑损伤患者80例,采用去骨瓣减压术治疗,观察治疗效果。结果:80例患者中,采用急性单侧去骨瓣减压术64例,采用双侧去骨瓣减压术16例,远期并发症包括原发TBI、死亡、颅骨缺损综合征、癫痫、脑积水、脑膨出以及硬膜下积液。采用颅骨修补手术52例,远期并发症包括猝死、骨瓣吸收和骨瓣感染。结论:重症颅脑损伤患者去骨瓣减压术后并发症较多,所以需要给予患者有效的护理方式,以避免并发症的发生。

Objective:To explore the long term complications after decompressive craniectomy for severe craniocerebral injury.Methods:80 patients with severe craniocerebral injury were selected,they were treated with decompressive craniectomy,we observed the therapeutic effect.Results:Of the 80 patients,64 cases were treated with acute unilateral decompressive craniectomy,and 16 cases were treated with bilateral decompressive craniectomy,long term complications included primary TBI,death,skull defect syndrome,epilepsy,hydrocephalus,encephalocele and subdural effusion.52 cases were treated with cranioplasty,long term complications included sudden death,bone flap absorption and bone flap infection.Conclusion:There were more complications after decompressive craniectomy in patients with severe craniocerebral injury,we need to adopt effective nursing methods to avoid complications.