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| 早期持续腰大池引流在重型颅脑损伤中的应用 |
| Clinical application of early continuous lumbar cistern drainage in patients with severe head injury |
| 投稿时间：2015-04-02 修订日期：2015-07-01 |
| DOI：10.3969/j.issn.1000-0399.2015.08.019 |
| 中文关键词: 腰大池引流 重型颅脑损伤 去骨瓣减压术 |
| 英文关键词: Lumbar cistern drainage Severe head injury Decompressive craniectomy |
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| 中文摘要: |
| 目的 探讨持续腰大池引流在重型颅脑损伤中的应用。方法 47例重型颅脑损伤行开颅血肿清除术及去骨瓣减压术后的47例患者随机分成两组,对照组24例患者采用开颅血肿清除及去骨瓣减压术和常规治疗,试验组23例患者在对照组的基础上早期行腰大池持续引流进行治疗。治疗后对两组患者进行长期随访和疗效评估。结果 试验组脑梗死、脑积水、纵裂积液、硬膜下积液、癫痫的发生率均低于对照组,且预后优于对照组。结论 重型颅脑损伤行开颅血肿清除术及去骨瓣减压术后早期行腰大池引流可有效降低病死率和致残率,改善患者预后。 |
| 英文摘要: |
| Objective To study continuous lumbar cistern drainage in patients with severe head injury. Methods Forty-seven cases of sever head injury treated by craniotomy and decompressive craniectomy in our hospital from February 2012 to July 2014 were divided into control and experimental groups. The control group was treated with cranial hematoma and decompressive craniectomy and conventional treatment, while bases on the control group, the experimental group received early stage continuous lumbar drainage treatment. Then the two groups of patients were performed with long-term follow-up and efficacy evaluation. Results The occurrence of infarction, hydrocephalus, longitudinal fluid and epilepsy in the treatment group was lower than the control group, and the prognosis was better than the control group. Conclusion Craniotomy evacuation of hematoma and decompressive craniectomy with early postoperative lumbar drainage for treating severe head injury can effectively reduce mortality and morbidity and improve prognosis. |
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