|本期目录/Table of Contents|

[1]牛占锋,康 晶,李广兴.双额颞脑挫裂伤早期手术治疗体会[J].宁夏医科大学学报,2019,(12):1285-1287.[doi:10.16050/j.cnki.issn1674-6309.2019.12.023]
 NIU Zhanfeng,KANG Jing,LI Guangxing.Early Surgical Treatment of Bilateral Frontotemporal Brain Contusion and Laceration[J].Ningxia Medical University,2019,(12):1285-1287.[doi:10.16050/j.cnki.issn1674-6309.2019.12.023]
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双额颞脑挫裂伤早期手术治疗体会(PDF)
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2019年12期
页码:
1285-1287
栏目:
经验交流
出版日期:
2020-03-27

文章信息/Info

Title:
Early Surgical Treatment of Bilateral Frontotemporal Brain Contusion and Laceration
文章编号:
1674-6309(2019)12-1285-03
作者:
牛占锋1 康 晶2 李广兴1
(1. 宁夏医科大学总医院神经外科,银川 750004; 2. 宁夏医科大学总医院耳鼻咽喉头颈外科,银川 750004)
Author(s):
NIU Zhanfeng1 KANG Jing2 LI Guangxing1
(1. Department of Neurosurgery,the General Hospital of Ningxia Medical University,Yinchuan 750004,China ;2. Department of Otorhinolaryngology,Head and Neck Surgery,the General Hospital of Ningxia Medical University,Yinchuan 750004,China)
关键词:
双额颞脑挫裂伤冠状切口双额颅骨骨瓣颅内减压
Keywords:
bilateral frontotemporal contusioncoronal incisionbifrontal cranial flapdecompression of intracranial pressure
分类号:
R651.1
DOI:
10.16050/j.cnki.issn1674-6309.2019.12.023
文献标志码:
B
摘要:
目的 探讨双侧额颞脑挫裂伤患者早期施行双额颞冠状切口,清除脑挫裂伤,达到颅内减压的目的。方法 回顾性分析宁夏医科大学总医院2014年4月—2018年5月收治的双侧额颞脑挫裂伤患者62例临床资料。结果 62例患者中,38例(61.2%)患者术后恢复良好伴有轻度功能障碍,8例(12.9%)患者术后出现轻度残疾,在保护下可以参加工作,11例(17.7%)患者术后出现重度残疾,5例(8.1%)患者处于持续性植物状态。结论 在临床上双额颞脑挫裂伤患者通常取冠状双额颞开颅,清除明显脑挫裂伤达到颅内减压的目的,对于改善预后、增加抢救成功率、减少死亡率具有明显效果。
Abstract:
Objective To explore the effectiveness of coronal incision in patients with bilateral frontotemporal contusion to remove contusion and laceration of brain and achieve intracranial decompression. Method A retrospective analysis was conducted on 62 cases of patients with bilateral frontotemporal contusion and laceration of brain in the General Hospital of Ningxia Medical University from April 2014 to May 2018. Results Among the 62 patients,38 patients(61.2%) recovered well after surgery with mild dysfunction,8 patients(12.9%)had mild disability after surgery and could work under protection, 11 patients(17.7%)had severe disability after surgery, and 5 patients(8.1%)were in a persistent vegetative state. Conclusion In clinical practice, bilateral frontotemporal craniotomy is usually taken on the patients with bilateral frontotemporal contusion to remove obvious cerebral contusion and achieve intracranial decompression, which has obvious effects on improving prognosis, increasing rescue success rate and reducing mortality.

参考文献/References:

[1] Chen WQ,Guo JF,Wu J,et al. Paradoxical herniation after unilateral decompressive craniectomy predicts better patient survival[J]. Medicine,2016,95(9):e2837.
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[7] Liu HF,Sun H. Efficacy and effect on prognosis of contusion and laceration of bilateral frontal lobes by large bone flap craniotomy with bilateral frontal coronal incision[J]. Chin J Postgrad Med,2015,35:21-23.
[8] Liu Z,Ren QF,Jun HE,et al. Treating bilateral forehead and temporal severe brain injury with coronal incision,bilateral standard trauma big bone craniotomy[J]. 2012,7(5):799-807.

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备注/Memo

备注/Memo:
收稿日期:2019-03-20
作者简介:牛占锋(1981-),男,河北人,主治医师,硕士,从事颅脑创伤与神经重症临床工作与研究。
更新日期/Last Update: 2019-12-30