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目的探讨三种策略在额叶脑挫裂伤治疗中的应用。方法 163例额叶脑挫裂伤患者根据病情轻重分为三组,分别采用保守治疗(118例)、脑内血肿钻孔引流(15例)及开颅脑内血肿清除去骨瓣减压(30例)三种策略进行治疗。结果保守治疗组(第一组)恢复良好105例(89.0%),轻度残疾13例(11.0%)。钻孔引流组(第二组)恢复良好10例(66.7%),轻度残疾4例(26.7%),重度残疾1例(6.7%)。开颅手术组(第三组)恢复良好15例(50.0%),轻度残疾5例(16.7%),重度残疾3例(10.0%),植物生存2例(6.7%),死亡5例(16.7%)。结论根据不同病情采用三种策略治疗额叶脑挫裂伤,可提高生存率,减少创伤,提高生活质量。
Objective To explore the application of three strategies in the treatment of frontal lobe contusion and laceration. Methods One hundred and sixty-three patients with frontal lobe contusion and laceration were divided into three groups according to the severity of the disease: conservative treatment (118 cases), intracranial hematoma drainage and drainage (15 cases) and craniotomy 30 cases) three strategies for treatment. Results The conservative treatment group (group 1) recovered well in 105 cases (89.0%) and mild disability in 13 cases (11.0%). There were 10 cases (66.7%) recovered well in the drainage group (group 2), 4 cases (26.7%) had mild disability and 1 case (6.7%) had severe disability. In the craniotomy group, 15 cases (50.0%) recovered well, 5 (16.7%) had mild disability, 3 (10.0%) had severe disability, 2 had plant survival (6.7%) and 5 died 16.7%). Conclusions Three strategies for treating frontal lobe contusion and laceration according to different conditions can improve the survival rate, reduce the trauma and improve the quality of life.