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目的总结双额叶脑挫裂伤的临床救治经验。方法对36例双额叶脑挫裂伤患者的临床资料进行回顾性分析。结果按格拉斯哥预后评分标准(GOS)评分:5级(痊愈)21例,4级(轻残)7例,3级(重残)3例,2级(植物状态)2例,1级(死亡)3例。结论双额叶脑挫裂伤病情变化较快,密切的病情观察,动态头颅CT复查,早期积极手术治疗可有效提高患者的救治率。
Objective To summarize the experience of clinical treatment of double frontal lobe contusion and laceration. Methods The clinical data of 36 patients with bilateral frontal lobe contusion and laceration were analyzed retrospectively. Results According to the Glasgow Prognostic Score (GOS), there were 21 cases of grade 5 (cured), 7 of grade 4 (mild residual), 3 of grade 3 (severe disability), 2 of grade 2 ) 3 cases. Conclusions Double frontal lobe contusion and laceration changes rapidly, and close observation of the disease, dynamic head CT review, early active surgery can effectively improve the treatment rate of patients.