Faleiro Rodrigo Moreira, Pimenta Newton José Godoy, Faleiro Luiz Carlos Mendes, Cordeiro Anderson Finotti, Maciel Cícero J, Gusmão Sebastião N S
Hospital Felicio Rocho , Belo Horizonte, Brazil.
Arq Neuropsiquiatr. 2005 Jun;63(2B):508-13. doi: 10.1590/s0004-282x2005000300026. Epub 2005 Jul 25.
There is no clear role for decompressive craniotomy (DC) for the intracranial hypertension (ICH) treatment in the literature. Actually, there is a lack of class I or II published data for DC, so it is recomended as a second tier option for the refractory ICH. Recent studies has analized the role of early DC for pos traumatic ICH. The present study analizes 21 patients who has received the early DC for the treatment of traumatic ICH. The majority of the patients had Glasgow Coma Scale < 9 and harboring a brain swelling or acute subdural hematoma at cranial computadorized tomography. Hydrocephalus was frequent after DC (28.5%). Good results were obtained in 11 patients (52.5%). We favour the early application of DC for pos traumatic hypertension.
文献中对于减压性颅骨切除术（DC）在颅内高压（ICH）治疗中的作用尚无明确界定。实际上，缺乏关于DC的I类或II类已发表数据，因此它被推荐为难治性ICH的二线选择。近期研究分析了早期DC在创伤后ICH中的作用。本研究分析了21例接受早期DC治疗创伤性ICH的患者。大多数患者格拉斯哥昏迷量表评分<9，且头颅计算机断层扫描显示有脑肿胀或急性硬膜下血肿。DC术后脑积水很常见（28.5%）。11例患者（52.5%）取得了良好效果。我们支持早期应用DC治疗创伤后高血压。
