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目的重型颅脑损伤死亡率高,额颞顶大骨瓣减压术可获得较好的疗效。方法采用额颞顶大骨瓣减压术治疗重型颅脑损伤68例。结果治疗68例,死亡10例,死亡率14.7%。结论额颞顶大骨瓣减压,最大限度地增加了颅内缓冲空间,降低了颅内压力,减轻了高颅压的继发性损害,预防了脑组织从切口疝出、桥静脉变形从而引起静脉性梗阻和额外的脑水肿,抑制其恶性循环的发生发展。
Objective The mortality rate of severe craniocerebral injury is high, and frontotemporal maxilla flap decompression can achieve better curative effect. Methods 68 cases of severe craniocerebral injury were treated with frontotemporal maxilla flap decompression. Results The treatment of 68 cases, 10 patients died, the mortality rate was 14.7%. Conclusions The amount of frontotemporal maxilla flap decompression maximizes intracranial cushioning space, reduces intracranial pressure and reduces secondary intracranial pressure and prevents brain tissue from incision herniation and deformation of the bridge veins Cause venous obstruction and additional brain edema, inhibit the development of the vicious circle.