【摘要】 目的总结重型颅脑损伤合并脑疝的救治经验并分析其预后情况。方法回顾性分析68例重型颅脑损伤合并脑疝患者的临床资料,根据不同手术方法、GCS评分与病情分别分析其预后情况。结果GCS评分3～5分患者的死亡率显著高于GCS评分6～8分患者(P＜0．05),幕上去大骨瓣减压+颅内血肿清除+小脑幕切开手术方式治疗的患者死亡率明显低于单侧幕上去大骨瓣减压+颅内血肿清除手术方式治疗的患者(P＜0．05)。结论重型颅脑损伤合并脑疝的临床疗效与GCS评分和手术方式密切相关。更多还原

【Abstract】 Objective To summarize the clinical experiences of treating 68 patients with severe craniocerebral injury complicated by brain hernia and to investigate their prognosis.Methods Clinical data of the 68 cases was retrospectively analyzed for finding the relationship between the different surgical methods and GCS scores and prognosis.Results The mortality of patients with GCS score 3～5 was significantly higher than patients with GCS score 6～8(P＜0.01),and patients with opening oftentorium of cerebellum had a less mortality than ones without the opening(P＜0.01).Conclusion The outcomes of severe craniocerebral injury patients with cerebral hernia are related with the GCS scores and the surgical methods.更多还原