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目的探讨Labbe’s静脉区脑挫裂伤的临床特点,以及形成机制、挫裂伤灶发展特点、手术方法和降低其致死致残率的措施。方法回顾性分析近5年来收治的29例Labbe’s引流区脑挫裂伤患者的临床资料。总结其临床表现、受伤机制﹑影像学﹑疾病发展特点﹑术中所见﹑后续并发症,以及处理措施和预后等。结果该区损伤自有特点,术中均证实存在静脉性损伤;迟发血肿发生率较高,挫裂伤灶水肿范围大,创面止血困难;后期病情变化大,是影响预后的重要因素。结论针对Labbe’s静脉区脑挫裂伤损伤特点,及时进行影像学检查,及时手术,以及合适的手术方法;结合术后的病情监测与治疗,可以降低病死率和致残率。
Objective To investigate the clinical features of Labbel’s cerebral contusion and laceration and its mechanism of formation, the characteristics of the development of contusion and laceration, surgical methods and the measures to reduce its morbidity and mortality. Methods The clinical data of 29 patients with brain contusion and laceration in Labbe’s drainage area admitted in the recent 5 years were retrospectively analyzed. To summarize its clinical manifestations, injury mechanism, imaging, disease development characteristics, intraoperative findings, follow-up complications, and treatment measures and prognosis. Results The area had its own characteristics of injury. Intravenous injury was confirmed during operation. The incidence of delayed hematoma was high. The range of edema of contusion and laceration was large. The hemostasis was difficult in the wound. The change of the disease in later period was an important factor affecting the prognosis. Conclusion According to the characteristics of Labbe’s venous cerebral contusion and laceration injury, timely imaging, timely surgery and appropriate surgical methods can be used to reduce the mortality and morbidity.