摘要
目的探讨颅脑对冲伤与冲击伤再手术的原因和预见性因素。方法回顾性分析18例颅脑对冲伤与冲击伤再手术患者的临床特点。结果本组18例采用GOS评定,随访6个月～2年,良好5例,轻残5例,重残2例,植物生存1例,死亡5例。结论颅脑外伤同时具备减速性损伤,冲击伤侧的颅骨骨折,时间短,对冲伤侧的硬膜下血肿宽度大于10cm,意识昏迷时再手术可能性大。
Objectives To investigate the causes and predictors of reoperation in coup and contre-coup head injury. Methods Clinical data of 18 cases of head injury were analysised retrospectively. Results The outcome of 18 cases were assessed according to GOS. The follow-up periods were between 6 months to 2 years. Of ：them , 5 recovered, 5 received with mild disability, 2 with severe disability, 1 in vegetative state ,5 died. Conclusions Deceleration injury, skull fracture of coup side, rapid progression contre-coup SDH of over 10mm in midth and comatose predict reoperation.
出处
《临床神经外科杂志》
CAS
2010年第1期42-43,共2页
Journal of Clinical Neurosurgery
关键词
脑外伤
对冲伤
冲击伤
traumatic brain injury
contrecoup injury
impact injury
