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目的观察标准外伤大骨瓣开颅手术治疗颅脑损伤合并恶性颅内高压的临床效果。方法选取医院收治的颅脑损伤合并恶性颅内高压患者40例为研究对象,随机分为2组,每组20例。对照组患者采用常规骨瓣开颅减压术治疗,观察组患者采用标准外伤大骨瓣开颅手术治疗,观察2组患者的临床总有效率、颅内压水平及并发症发生情况。结果观察组患者的临床总有效率高于对照组(P<0.05);手术后颅内压水平低于对照组(P<0.01);且并发症发生率低于对照组(5%vs.30%,P<0.05)。结论颅脑损伤合并恶性颅内高压患者采用标准外伤大骨瓣开颅手术治疗具有较好的临床效果,不仅可提高颅内血肿及坏死组织的清除效果,还能降低并发症发生率,值得在临床推广应用。
Objective To observe the clinical effect of traumatic craniocerebral injury combined with malignant intracranial hypertension by standard craniotomy. Methods Forty patients with craniocerebral injury and malignant intracranial hypertension admitted to our hospital were selected as the study subjects and randomly divided into two groups of 20 patients. The patients in the control group were treated with craniotomy decompression. The patients in the observation group were treated by craniotomy with standard trauma and large bones. The total effective rate, the intracranial pressure level and the complication of the two groups were observed. Results The total clinical effective rate in the observation group was higher than that in the control group (P <0.05). The intracranial pressure was lower in the observation group than in the control group (P <0.01), and the complication rate was lower than that in the control group (5% vs. 30 %, P <0.05). Conclusion The craniocerebral injury combined with malignant intracranial hypertension patients with standard trauma craniectomy has good clinical effect, not only can improve the clearance of intracranial hematoma and necrotic tissue, but also reduce the incidence of complications, it is worth Clinical application.