额叶脑挫裂伤手术时机及手术指征探讨

发布时间：2018-03-09 17:39

本文选题：额叶　切入点：脑挫裂伤　出处：《现代仪器与医疗》2016年06期 　论文类型：期刊论文

【摘要】：目的:探讨额叶脑挫裂伤的手术时机及手术指征,为临床实践提供参考。方法:以我院2008年4月—2016年4月收治的103例额叶脑挫裂伤患者为研究对象,回顾性分析其临床表现、影像学特点、治疗方法及结果,总结治疗体会,分析手术时机与指征。结果:103例患者中,65例入院后即接受急诊手术,其中60例恢复良好,5例因术后脑梗死、呼吸道感染、消化道出血等并发症死亡;38例入院后行保守治疗,其中14例因病情恶化中转外科治疗,14例患者中,3例因病情恶化手术不及时死亡,3例术后第3~7 d发生大面积脑梗死死亡,其余患者恢复尚可。随访14~62个月,103例患者中,77例恢复良好(痊愈、轻残),6例中残,7例重残,13例死亡。结论 :掌握手术指征、早期实施手术治疗,是改善额叶脑挫裂伤预后质量及认知功能的关键,必要时可放宽手术指征以避免延误治疗时机。
[Abstract]:Objective: to explore the operative opportunity and indications of frontal lobe contusion and laceration, and to provide reference for clinical practice. Methods: 103 cases of frontal contusion and laceration were treated in our hospital from April 2008 to April 2016, and their clinical manifestations were analyzed retrospectively. Results 65 out of 103 patients received emergency operation immediately after admission, 60 of them recovered well, 5 had postoperative cerebral infarction and respiratory tract infection. 38 patients died of gastrointestinal bleeding and other complications after admission to hospital. Among them, 14 cases were treated with surgical treatment due to the deterioration of the condition. 3 cases died of delayed operation due to the deterioration of their condition. 3 cases died of massive cerebral infarction on the 3rd day after operation, and 3 cases died of massive cerebral infarction on the 7th day after operation. The recovery of the remaining patients was good. 77 of 103 patients were well recovered (cured, 7 of 6 cases died of severe disability). Conclusion: mastering the indications of operation and early operative treatment. It is the key to improve the quality of prognosis and cognitive function of frontal lobe contusion and laceration.
【作者单位】：江苏如皋市人民医院神经外科;
【分类号】：R651.15

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