摘要
目的探讨颅脑外伤合并视神经损伤患者治疗效果。方法 70例颅脑外伤合并视神经损伤患者中,采用清除颅内血肿并行眼科经颅视神经管减压术10例。其余60例患者均给予甲基泼尼松龙15～20mg/kg静脉滴注,5d左右改泼尼松龙片剂80mg口服;胞二磷胆碱1.0g静脉滴注,并同时给予脱水剂、血管扩张药物及高压氧治疗。结果治疗后,失明的35例患者恢复情况一般,仅3例恢复光感;17例治疗前仅有光感的患者,治疗后视力提高15例,其余2例患者治疗效果不明显;11例治疗前可手动数指的患者,视力提高>0.1者6例,其余5例效果不明显;治疗前视力在0.01～0.1的7例患者,治疗后视力均有不同程度恢复,其中有1例患者视力恢复至0.7。结论早诊断、早治疗对提高颅脑外伤合并视神经损伤患者的预后有重要意义,可提高患者视力及生存质量。
Objective To explore the clinical effect of patients with craniocerebral trauma combined with optic nerve injury.Methods 70 caces patients with craniocerebral trauma combined with optic nerve injury,10 caces were given treatment of cleaning intracranial hematoma and optic canal decompression.The other 60 caces were given intravenous methylprednisolone 15 ～ 20mg/kg,about 5 days changed to sterane tablet oral and intravenous citicoline 0.1mg,and dehydrant,vasodilator,hyperbaric oxygen at the same time.Results After treatment,the 35 cases with no eyesight had general recovery,just 3 caces recovered light sensation;The 17caces with sight sensation only,15 caces had improved the vision,other 2 caces had no obvious clinical effect;of the 11caces can manual number,6 caces had improved vision greater than 0.1,other 5 caces had no obvious clinical effect;The 7 caces with vision from 0.01 to 0.1 had inordinately improved their eyesight,1cace had improved to 0.7.Conclusion Early diagnosis and treatment has important value to patients with craniocerebral trauma combined with optic nerve injury,which can improve the eyesight and life quality of patient.
出处
《临床合理用药杂志》
2013年第1期22-23,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
颅脑损伤
视神经损伤
眼科
神经外科
Craniocerebral trauma
Optic nerve injury
Ophthalmology
Neurosurgery
