【摘要】 目的探讨双侧额叶脑挫裂伤的临床治疗策略及疗效。方法回顾性分析医院近4年来收治的96例双额叶脑挫裂伤病人的临床资料,总结治疗经验及疗效。结果 96例患者1年后随访时的格拉斯哥预后评分(GOS评分):恢复良好71例,轻残13例,重残6例,植物生存1例,死亡5例。结论双额叶脑挫伤病人临床病情变化迅速,一旦形成脑疝其预后不佳。加强对双额叶脑挫裂伤病人的临床观察及CT动态观察,对有明显占位效应者早期手术清除血肿减压是治疗此类病人的有效方法。颅内压监护对于指导临床治疗、改善预后有积极作用。更多还原

【Abstract】 Objective To discuss the strategy of treatment for bifrontal contusion and laceration.Methods The clinical data of 96cases with bifrontal contusion and laceration were retrospectively analyzed.Results According to The Glasgow Outcome Scale(GOS),there were 71cases with good recovery,13cases with moderately disabled,6cases with severely disabled,1case remained vegetative state and 5cases died.Conclusion The clinical condition of bifrontal contusion and laceration may suddenly deteriorate.Once the hernia formed,the prognosis will be poor.Great importance should be given to the close observation of the patient’s condition and dynamic CT examination.Prompt surgical hematoma evacuation and decompression is effective to those with significant mass effects at CT scan.Monitoring of intracranial pressure plays a positive role in guiding clinical treatment and improvement of prognosis.更多还原