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目的探讨去大骨瓣减压术治疗重型颅脑外伤的临床疗效。方法对2008年7月-2013年8月行去大骨瓣减压术的132例重型颅脑损伤患者的临床资料和治疗效果进行回顾分析。结果 132例患者中,恢复良好67例(50.75%),中度残疾26例(19.70%),重度残疾10例(7.58%),植物生存12例(9.09%),死亡17例(12.88%),总有效率为87.12%(115例)。结论正确的把握去大骨瓣减压的手术指征及手术方式,是降低重型颅脑损伤的并发症及病死率的重要因素。
Objective To investigate the clinical effect of decompressive craniectomy on severe craniocerebral trauma. Methods The clinical data and therapeutic effects of 132 patients with severe craniocerebral injury who underwent decompressive craniectomy from July 2008 to August 2013 were retrospectively analyzed. Results Among the 132 patients, 67 cases (50.75%) recovered well, 26 (19.70%) moderately disabled, 10 (7.58%) severe disability, 12 (9.09%) plant life and 17 (12.88%) died. , The total effective rate was 87.12% (115 cases). Conclusions Correct grasp of surgical indications and surgical procedures for decompression of large bones is an important factor in reducing complications and mortality of patients with severe craniocerebral injury.