【摘要】 目的　提高重症硬膜外血肿抢救的成功率。方法　分析对比 67例重症硬膜外血肿不同手术方式的效果。结果　按GOS评价 ,常规手术组 1分 5例 ,2～ 3分 4例 ,4分 6例 ,5分 3 0例 ;改良手术组 1分 1例 ,2～ 3分 1例 ,4分 2例 ,5分 18例。优良率有显著性差异P <0 .0 5。结论　重症硬膜外血肿术后脑水肿或脑肿胀加重造成的颅内高压是其致死、致残的主要因素 ,有效减压是救治这一类型硬膜外血肿的重要措施 ,侧向硬膜囊扩充减压能迅速降低颅内高压、减轻脑水肿、解除脑疝 ,减压效果满意 ,并发症少更多还原

【Abstract】 Objective\ To improve the probability of success in rescuing serious extradural hematomas. Method\ To analyze and contrast the curative effect of 67 cases of serious extradural hematomas from different operative means. Result\ There were 5 cases of 1 mark, 4 cases 2 to 3 marks, 6 cases of 4 marks and 30 cases of 5 marks according to GOS.In routine operative group while 1 case of 1 mark, 1 case of 2 to 3 marks, 2 cases of 4 marks and 18 cases of 5 marks in evolutionary operative one. The curative effect of evolutionary operative group was better than routine operative one (P<0.05).Conclusion\ The main mortal and disabled factor is intracranial high pressure resulted from cerebral edema and swelling after operation. Therefore, effective intracranial decompression is an important measure in rescuing serious extradural hematomas. Decompressive craniectomy by subdural space expanded of dura can decrease intracranial pressure, alleviate cerebral edema and relieve brain hernia. Furthermore, this technique can acquire good decompression and have little complication.更多还原