摘要
本文总结105例外伤性急性颅内血肿中期脑疝临床资料,就如何提高中期脑疝病员的抢救成活率,降低伤残、死亡率进行了探讨。作者认为早期诊断、早期处理是抢救成功的关键,主张就地治疗、严密观察意识和生命体征改变、积极进行脑血管造影.一旦诊断明确即紧急作造择性切口开颅清除血肿。对病情笃重者则直接大骨瓣开颅探查行血肿清除。本文还就中期脑疝预后相关因素进行了讨论。
The clinial data of 105 cases with acute traumatic nitracranial hematoma associated with mid-stage ceretrai hemiation were reviewed in this paper. The noneffective rate,survival and mortality rare were discussed empkastica- lly.Authors suggested that the early diagnosis and earty management was ttie most inportant key in the treatment,The patients should te hopt in the local hospital,and the patients' consciousness and tasic lifesigns should also te otserved intensively,The ceretral angiography should te carried out as soon as possitle.Once the diagnosci is ascertained,emergent operation should te performed to make a selected opening of the cranium to eliminate the hematoma.For the most serious patients,a direct explorative operation with big bone openirg was most necessary.And factors relating to the progn- osis of patients with mid-stage cererbrat herniation were also discussed.
