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中华神经创伤外科电子杂志 ›› 2017, Vol. 03 ›› Issue (01) : 30 -32. doi: 10.3877/cma.j.issn.2095-9141.2017.01.008

所属专题: 文献

临床研究

对冲性双额叶脑挫裂伤并发脑中心疝的临床分析
陈锷峰1,(), 骆明1, 钱辉1, 陈华炜1, 孙陈军1, 章月江1   
  1. 1. 312030 绍兴,中国医科大学绍兴医院神经外科
  • 收稿日期:2016-12-15 出版日期:2017-02-15
  • 通信作者: 陈锷峰

Clinical analysis of contrecoup contusion and laceration in bilateral frontal lobe with brain central hernia

Efeng Chen1,(), Ming Luo1, Hui Qian1, Huawei Chen1, Chenjun Sun1, Yuejiang Zhang1   

  1. 1. Department of Neurosurgery, Shaoxing Hospital of China Medical University, Shaoxing 312030, China
  • Received:2016-12-15 Published:2017-02-15
  • Corresponding author: Efeng Chen
  • About author:
    Corresponding author: Chen Efeng, Email:
引用本文:

陈锷峰, 骆明, 钱辉, 陈华炜, 孙陈军, 章月江. 对冲性双额叶脑挫裂伤并发脑中心疝的临床分析[J]. 中华神经创伤外科电子杂志, 2017, 03(01): 30-32.

Efeng Chen, Ming Luo, Hui Qian, Huawei Chen, Chenjun Sun, Yuejiang Zhang. Clinical analysis of contrecoup contusion and laceration in bilateral frontal lobe with brain central hernia[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2017, 03(01): 30-32.

目的

探讨对冲性双额叶脑挫裂伤并发脑中心疝的临床特点,手术时机和方法。

方法

回顾性分析2011年1至2015年5月收治于中国医科大学绍兴医院神经外科的31例对冲性双额叶脑挫裂伤并发脑中心疝患者的临床特点、影像学特征、手术方法和治疗效果。

结果

随访1年,根据GOS评分,恢复良好24例,占77.42%;重残5例,占16.13%;死亡2例,占6.45%。

结论

根据CT提示的血肿量、挫伤脑组织及周围水肿范围计算占位体积,结合侧脑室前夹角大于120°,或意识进行性下降,积极采取手术治疗,及时清除颅内血肿及挫伤失活脑组织,去骨瓣解除脑受压是救治这类颅脑损伤的关键。

Objective

To investigate the clinical characteristics, surgical timing and methods of contrecoup contusion and laceration in bilateral frontal lobe with brain central hernia.

Methods

The clinical features, imaging features, surgical methods and therapeutic effects of 31 cases of patients with contrecoup contusion and laceration in bilateral frontal lobe with brain central hernia treated in department of neurosurgery, Shaoxing hospital of China Medical University from January 2011 to May 2015 were analyzed retrospectively.

Results

After 1 year follow-up, according to the GOS score, 24 cases were recovered well, accounting for 77.42%; severe disability in 5 cases, accounting for 16.13%; 2 cases of death, accounting for 6.45%.

Conclusion

According to the volume of hematoma, the extent of the brain tissue and peripheral edema displayed by CT to calculate the volume of the occupied volume, surgical treatment taken actively when the angle of the lateral ventricle is greater than 120 degrees or the consciousness is progressive lossing, timely removal of intracranial hematoma and contusion of the brain tissue, to remove the brain compression, is the key to treatment of this type of brain injury.

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