重型颅脑损伤手术治疗的研究

Research on Surgical Treatment of Severe Head Injury

重型颅脑损伤是临床常见的危急重症,致残率和死亡率较高,严重威胁患者的生命安全。临床目前治疗主要以最大化挽救患者生命,降低致残率,预防继发性并发症,改善患者生存质量为治疗原则。手术治疗是临床治疗的有效手段,可改善重型颅脑损伤患者预后,提高临床救治率。临床如何选择有效治疗重型颅脑损伤的方法是当前神经外科的难题。不同手术治疗方法,临床治疗效果和预后存在差异,尤其是神经外科技术、手术设备的日益发展和成熟以及对颅脑损伤发病机制的深入研究,使重型颅脑损伤手术治疗得到一定发展。本文就重型颅脑损伤早期诊断及急诊处理、手术治疗方法作一综述,以期为临床重型颅脑损伤手术治疗方法选择提供一定的参考依据。

Severe craniocerebral injury is a common clinical critical illness with a high disability and mortality rate,which seriously threatens the life safety of patients.The current clinical treatment is mainly based on maximizing the saving of patients'lives,reducing the rate of disability,preventing secondary complications,and improving the quality of life of patients.Surgical treatment is an effective means of clinical treatment,which can improve the prognosis of patients with severe head injury and increase the clinical treatment rate.How to choose an effective treatment method for severe head injury is a difficult problem in neurosurgery at present.Different surgical treatment methods,clinical treatment effects and prognosis are different,especially the increasing development and maturity of neurosurgical technology,surgical equipment,and in-depth research on the pathogenesis of brain injury,so that the surgical treatment of severe brain injury has been developed to a certain extent.This article summarizes the early diagnosis,emergency treatment and surgical treatment of severe head injury,in order to provide a certain reference basis for the selection of clinical severe head injury surgical treatment.