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目的探讨双额叶脑挫裂伤合理的治疗方法及手术指征。方法对我院2001年1月～2009年6月收治的58例双额叶脑挫裂伤的临床资料进行回顾性分析。结果随访6月,按照GOS评分标准,恢复良好29例,中残12例,重残6例,植物生存3例,死亡8例。结论对双额叶脑挫裂伤患者要高度重视,要严密观察神志瞳孔情况,动态头颅CT复查,脱水剂不可过快过早减量停用,正确掌握手术适应证,早期手术能够提高抢救成功率,明显改善预后。
Objective To investigate the reasonable treatment and surgical indications of double frontal lobe contusion and laceration. Methods The clinical data of 58 patients with bilateral frontal lobe contusion and laceration treated in our hospital from January 2001 to June 2009 were analyzed retrospectively. Results Follow-up in June, according to the GOS score, 29 cases were recovered well, 12 cases were moderate disability, 6 cases were severe disability, 3 cases were plant survival and 8 cases died. Conclusions The patients with contusion and laceration of the frontal lobe should attach great importance to closely observe the pupil of consciousness, dynamic CT review of the skull, the dehydrating agent can not be decelerated too early too early, the correct indication of the operation, early surgery can improve the success of the rescue Rate, significantly improve the prognosis.