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目的:探讨脑挫裂伤伴血肿形成的手术治疗策略。方法:对2000-03/2009-06手术治疗的98例双侧额叶脑挫裂伤合并脑内血肿患者进行回顾性分析。结果:所有患者共随访2 a,恢复良好80例,中残6例,重残4例,植物生存4例,病死4例。头痛、头晕30例,轻度精神异常16例,严重精神症状4例,肢体偏瘫4例。结论:对于双侧额叶脑挫裂伤合并脑内血肿患者,临床上要高度重视,密切观察病情变化,动态复查头颅CT,早期及时手术治疗,术中要注意止血以及清除血肿后尽量将额部骨复位,术后要注意防止并发症的发生。
Objective: To explore the surgical treatment of brain contusion and hematoma formation. Methods: A retrospective analysis was performed on 98 patients with bilateral frontal lobe contusion and intracerebral hematoma who underwent surgery from March 2000 to June 2009. Results: All patients were followed up for 2 years, 80 cases were recovered well, 6 cases were moderate disability, 4 cases were severe disability, 4 cases were plant survival and 4 cases died. Headache, dizziness in 30 cases, mild mental abnormalities in 16 cases, 4 cases of severe mental symptoms, limb hemiplegia in 4 cases. Conclusion: For patients with bilateral frontal lobe contusion and intracranial hematoma, we should pay close attention to the clinical situation, closely observe the changes of the disease, dynamic review of cranial CT, early and timely surgical treatment, intraoperative attention should be given to stop bleeding and remove the hematoma as much as possible Department of bone reduction, postoperative care should be taken to prevent the occurrence of complications.