The Use and Effect of Large Trauma Craniotomy on Severe Traumatic Brain Injury_West China Medical Journal

Authors：

 SONGWei-zheng ¹ , LIUJia-gang ² , CAIPing ³

1. Department of neurosurgery, The Fifth Chengdu People's Hospital, Chengdu, Sichuan 611130, P. R. China;
2. Department of neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Gastroscope Room, the fifth Chengdu People's Hospital, Chengdu, Sichuan 611130, P. R. China;

Corresponding?author：

Keywords：

Severe brain injury; Large trauma craniotomy; Therapeutic effect

DOI：

10.7507/1002-0179.20140505

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Objective To investigate the effects of large trauma craniotomy on severe traumatic brain injury. Methods A total of 132 cases of severe traumatic brain injury adopted large trauma craniotomy between July 2008 and August 2013, and the clinical data were retrospectively analyzed. Results According to the results of GOS assessment at discharge, 67 patients (50.75%) were satisfied, 26 (19.70%) were mildly disable, 10 (7.58%) were severely disable, 12 (9.09%) were in vegetative state, and 17 (12.88%) were dead. Conclusion Correct use of large trauma craniotomy on severe brain injury cases will help to improve the treatment outcome, reduce complications and improve quality of survival.

Citation： SONGWei-zheng, LIUJia-gang, CAIPing. The Use and Effect of Large Trauma Craniotomy on Severe Traumatic Brain Injury. West China Medical Journal, 2014, 29(9): 1647-1649. doi: 10.7507/1002-0179.20140505 Copy

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11.	呂愛賓,鄭志新.重度顱腦損傷術中急性腦膨出原因及處理[J].安徽衛生職業技術學院學報,2010,9(5):22-23,46.
12.	董文明,張志學,董玉萍.重型顱腦外傷開顱術中急性腦膨出26例臨床分析[J].現代預防醫學,2010,37(24):4685-4686.
13.	王遵海.重型顱腦損傷手術患者死亡原因分析[J].安徽衛生職業技術學院學報,2009,8(1):35-36.
14.	江基堯,李維平,徐蔚,等.標準外傷大骨瓣與常規骨瓣治療重型顱腦損傷多中心前瞻性臨床對照研究[J].中華神經外科雜志,2004,20(1):40-43.
15.	王會洪.急性顱腦損傷患者的臨床治療[J].華西醫學,2010,25(2):349-350.

1. Becker DP,Gade GF,Young HF,et al.Diagnosis and treatment of head injury in adults[M]//Youmans JR.Neurological surgery.3rd ed.Philadelphia:WB Saunders,1990:2017-2148.
2. 江基堯.介紹一種美國臨床常用的標準外傷大骨瓣開顱術[J].中華神經外科雜志,1998,14(6):381.
3. 平海江.標準外傷大骨瓣開顱術治療重型顱腦損傷[J].山東醫藥,2007,47(18):43.
4. 徐斌,鐘建榮,周次生.標準大骨瓣減壓與常規去骨瓣減壓治療重型顱腦損傷療效比較[J].廣東醫學,2009,30(6):961-962.
5. 徐震,黃李法,呂曉皚,等.大骨瓣減壓對不同年齡重型顱腦創傷患者腦血流量及腦代謝的影響[J].中華神經外科雜志,2011,27(1):62-64.
6. Soustiel JF,Sviri GE,Mahamid E,et al.Cerebral blood flow and metabolism following decompressive craniectomy for control of increased intracranial pressure[J].Neurosurgery,2010,67(1):65-72.
7. Nakagawa K,Hills NK,Kamel H,et al.The effect of decompressive hemicraniectomy on brain temperature after severe brain injury[J].Neurocrit Care,2011,15(1):101-106.
8. 頓志平,王洪亮,尚景瑞,等.外傷大骨瓣一期分瓣回置的臨床應用研究[J].中華神經醫學雜志,2006,5(10):1045-1047.
9. Yang Ch,Li Q,Wu C,et al.Decompressive craniectomy or not:intraoperative experiences in 41 patients with severe traumatic brain injury[J].Chin J Traumatol,2012,15(3):158-161.
10. 楊朝華,李鵬程,李強,等.重型顱腦損傷腦疝139例治療分析[J].中華神經外科雜志,2013,29(2):138-141.
11. 呂愛賓,鄭志新.重度顱腦損傷術中急性腦膨出原因及處理[J].安徽衛生職業技術學院學報,2010,9(5):22-23,46.
12. 董文明,張志學,董玉萍.重型顱腦外傷開顱術中急性腦膨出26例臨床分析[J].現代預防醫學,2010,37(24):4685-4686.
13. 王遵海.重型顱腦損傷手術患者死亡原因分析[J].安徽衛生職業技術學院學報,2009,8(1):35-36.
14. 江基堯,李維平,徐蔚,等.標準外傷大骨瓣與常規骨瓣治療重型顱腦損傷多中心前瞻性臨床對照研究[J].中華神經外科雜志,2004,20(1):40-43.
15. 王會洪.急性顱腦損傷患者的臨床治療[J].華西醫學,2010,25(2):349-350.

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