论文部分内容阅读
目的:探讨硬脑膜网状切开减压及术中、术后脱水剂的应用对治疗外伤性脑肿胀的应用价值。方法:对我院30例重型颅脑损伤并脑肿胀者实施大骨瓣开颅硬脑膜网状切开减压,术中及术后应用合适脱水剂,预防和避免急性脑膨出。结果:本组30例病人中,根据GOS恢复标准,存活26例,死亡4例,存活中恢复良好7例,中残14例,重残4例,植物生存1例。结论:硬脑膜网状切开减压辅助脱水剂治疗能使颅高压患者得到均匀分散减压,达到有限渐次减压效果,避免了术中、术后急性脑膨出带来的继发性损害。
Objective: To investigate the application value of dura mesorectum decompression and intraoperative and postoperative dehydrating agents in the treatment of traumatic brain swelling. Methods: 30 cases of severe craniocerebral injury in our hospital and brain swelling were implemented large craniotomy craniotomy detrusor decompression, intraoperative and postoperative application of a suitable dehydration agent to prevent and avoid acute encephalocele. Results: According to GOS recovery criteria, 26 patients survived, 4 died, 7 survived, 14 were moderate disability, 4 were severely disabled, and 1 patient was alive. Conclusion: The treatment of dural net decompression and decompression assisted dehydration can make the patients with intracranial hypertension get decentralized and decompression, achieve the effect of limited decompression and decompression, and avoid the secondary damage caused by intraoperative and postoperative acute encephalocele .