期刊文献+

标准大骨瓣开颅减压术治疗重型颅脑损伤和大面积脑梗死(附49例报告) 被引量:45

Standard decompressive hemicraniectomy for severe traumatic brain injury and massive cerebral infarct: a retrospective analysis of 49 cases
下载PDF
导出
摘要 目的探讨标准大骨瓣减压术治疗重型颅脑损伤和大面积脑梗死的临床效果。方法回顾性的分析2006年1月至2011年1月标准大骨瓣开颅减压术治疗的38例重型颅脑损伤和11例大面积脑梗死患者临床资料。结果出院时按GOS分级,38例重型颅脑损伤患者中,GOSⅠ级15例,Ⅱ~Ⅲ级4例,Ⅳ~Ⅴ级19例。11例大面积脑梗死患者中,GOSⅠ级4例,Ⅱ~Ⅲ级1例,Ⅳ~Ⅴ级6例。结论标准大骨瓣减压术是治疗重型颅脑损伤和大面积脑梗塞的有效方法。 Objective To explore the curative effect of standard decompressive hemicraniectomy on severe traumatic brain injury (STBI) and massive cerebral infarct. Method The clinical data of 38 patients with STBI and 11 patients with massive cerebral infarct, who underwent standard decompressive hemicraniectomy from January, 2006 to January, 2011, were analyzed retrospectively. Results According to GOS on discharge from hospital, of 38 patients with STBI, 15 died, 4 were severely disabled or survived vegetatively and 19 moderately disabled or recovered well. Of 11 patients with massive cerebral infarct, 4 died, 1 was severely disabled and 6 moderately disabled or recovered well. Conclusion The standard decompressive hemicraniectomy was an effective method to treat STBI and massive cerebral infarct.
出处 《中国临床神经外科杂志》 2011年第10期602-604,共3页 Chinese Journal of Clinical Neurosurgery
关键词 标准大骨瓣减压术 重型颅脑损伤 大面积脑梗死 效果 Standard decompressie hemicraniectomy Severe traumatic brain injury Massive cerebral infarct
  • 相关文献

参考文献18

  • 1江基尧.介绍一种美国临床常用的标准外伤大骨瓣开颅术[J].中华神经外科杂志,1998,14:381-381. 被引量:320
  • 2江基尧,高立达.颅脑损伤概论.见:王忠诚.主编.王忠诚神经外科学.第5版.武汉:湖北科学技术出版社,2005.380-381. 被引量:3
  • 3刘志坚,蒋健,王嵘,赵寅涛,倪红斌,梁维邦,季晶.标准大骨瓣减压并颞肌贴敷术治疗大面积脑梗塞[J].中国临床神经外科杂志,2005,10(2):96-97. 被引量:24
  • 4Cockroft KM.Hemicraniectomy after massive hemispheric cerebral infarction:are we ready for a prospective randomised controlled trial[J] ?J Neurol Neurosurg Psychiatry,2004,75:179-180.. 被引量:1
  • 5方亦斌,周晓平.去骨瓣减压术在重型颅脑外伤中的应用[J].临床神经外科杂志,2005,2(3):142-144. 被引量:10
  • 6Wi jdicks EF.Management of massive hemispheric cerebral infarct:is there a ray of hope[J] ?Mayo Clin Proc,2000,75:945-952. 被引量:1
  • 7莫贻敏,秦坤明,杨朝华.大骨瓣减压术治疗重型颅脑损伤的系统评价[J].中国循证医学杂志,2009,9(9):985-993. 被引量:43
  • 8Wagner S,Schnippering H,Aschoff A,et al.Suboptimum hemicraniectomy as a cause of additional cerebral lesions in patients with malignant infarction of the middle cerebral artery[J].J Neurosurg,2001,94:693-696. 被引量:1
  • 9Schneider GH,Bardt T,Lanksch WR,et al.Decompressive craniectomy following traumatic brain injury:ICP,CPP and neurological outcome[J].Acta Neurochir,2002,81:77-79. 被引量:1
  • 10周良辅主编..现代神经外科学[M].上海:复旦大学出版社;上海医科大学出版社,2001:1304.

二级参考文献21

  • 1卢洪流.中英对照GCS评分[J].中华神经医学杂志,2005,4(5):497-497. 被引量:64
  • 2吴泰相,刘关键.隐蔽分组(分配隐藏)和盲法的概念、实施与报告[J].中国循证医学杂志,2007,7(3):222-225. 被引量:174
  • 3Dupta R, Connolly ES, Mayer S, et al . Hemicraniectomy for massive middle cerebral artery territory infarction: a systematic review [J]. Stroke, 2004, 35(2): 539~543. 被引量:1
  • 4Wijman CA. Editorial comment--Can we predict massive space-occupying edema in large hemispheric infarctions [J]? Stroke, 2003, 34(8): 1899~1900. 被引量:1
  • 5Hofmeijer J, van der Worp HB, Kappelle LJ. Treatment of space-occupying cerebral infarction [J]. Crit Care Med,2003, 31(2): 617~625. 被引量:1
  • 6Kakuk I, Major O, Gubucz I, et al . New methods of intensive therapy in stroke: hemicraniectomy in patients with complete middle cerebral artery infarction and treatment of intracerebral and intraventricular hemorrhage with urokinase [J]. Ideggyogy Sz, 2002, 20, 55(3-4): 118~127. 被引量:1
  • 7Barber PA, Demchuk AM, Zhang J, et al . Computed tomography parameters predicting fatal outcome in large middle cerebral artery infarction [J]. Cerebrovasc Dis, 2003, 16(3):230~235. 被引量:1
  • 8Mori K, Aoki A, Yamamoto T, et al . Aggressive decompressive surgery in patients with massive hemispheric embolic cerebral infarction associated with severe brain swelling [J].Acta Neurochir (Wien), 2001, 143(5): 483~492. 被引量:1
  • 9Wijdicks EF. Hemicraniotomy in massive hemispheric stroke: a stark perspective on a radical procedure [J]. Can J Neurol Sci , 2000, 27(4): 271~273. 被引量:1
  • 10Carhuapoma JR, Qureshi AI, Bhardwaj A, et al . Interhemispheric intracranial pressure gradients in massive cerebral infarction [J]. J Neurosurg Anesthesiol, 2002 , 14(4):299~303. 被引量:1

共引文献410

同被引文献296

引证文献45

二级引证文献251

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部