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目的:对重型颅脑损伤致脑疝患者应用大骨瓣开颅术进行治疗,观察其应用效果。方法:选取我院神经外科2012年1月-2014年3月共102例重型颅脑损伤致脑疝患者,对所有患者行大骨瓣开颅术进行颅内降压,对患者术后6个月进行预后评分,对疗效做出评价。结果:本次研究中有60.78%的患者恢复良好,可以正常的进行生活,植物或死亡患者占到22.55%。结论:大骨瓣开颅术治疗重型颅脑损伤致脑疝疗效显著,并发症较少,患者恢复较好,在临床应用中值得进行推广和研究。
OBJECTIVE: To treat patients with cerebral hernia caused by severe craniocerebral injury by using large craniotomy craniotomy and observe its application effect. Methods: From January 2012 to March 2014, 102 patients with cerebral hernia caused by severe craniocerebral injury were selected from Department of Neurosurgery in our hospital. All patients underwent maxilla craniotomy for intracranial hypotension. Six patients Month prognosis score to evaluate the efficacy. Results: In this study, 60.78% of the patients recovered well and could live normally. Plants or deaths accounted for 22.55%. CONCLUSION: The treatment of severe craniocerebral hernia caused by large craniotomy for craniocerebral cranialis has significant curative effect, fewer complications and better recovery. It is worth to be popularized and studied in clinical application.