【摘要】 目的 总结61例颅眶损伤病人的救治经验。方法 对我科1986年2月至1998年9月收治的61例严重颅眶损伤病人进行回顾性总结。结果 61例严重颅眶损伤患者的临床特点为:颅眶骨折畸形明显,脑脊液漏及视神经损伤发生率高,意识障碍轻。结论 对严重颅眶损伤病人进行积极的Ⅰ期手术治疗包括清除颅内血肿和挫伤坏死脑组织、矫正颅眶畸形、视神经管减压、修补脑脊液漏,能改善预后。更多还原

【Abstract】 Objective To summarize the therapeutic experiences of 61 patients with severe cranio-orbital injuries. Methods Clinical data of 61 patients who admitted to our department from Feb 1986 to Sep 1998 were analyzed retrospectively. Results The clinical characteristics of the 61patients with severe cranio-orbital injuries were as follows: severe cranio-orbital deformities, high frequency of cerebrospinal fluid leakages and optic nerve injuries, and mild disturbances of consciousness. Conclusions For severe cranio - orbital injuries, the primary surgical operative procedures included removal of intracranial hematoma and contused brain tissues, correction of cranio-orbital deformities, repair of the cerebrospinal fluid leakages and decompression of the optic canal. The prognosis in the majority of patients could be improved.更多还原