采用去骨瓣减压术治疗的重度创伤性脑损伤。

Severe traumatic brain injury managed with decompressive craniectomy.

作者信息

Mezue W C, Erechukwu A U, Ndubuisi C, Ohaegbulam S C, Chikani M C

机构信息

Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria.

出版信息

Niger J Clin Pract. 2012 Jul-Sep;15(3):369-71. doi: 10.4103/1119-3077.100654.

DOI:10.4103/1119-3077.100654

PMID:22960979

Abstract

Patients with severe traumatic brain injury may develop intractable raised ICP resulting in high mortality and morbidity. This may be anticipated from the patient's clinical status and imaging findings even where intracranial monitoring is unavailable. Outcome may be improved by early and aggressive control of ICP and surgical decompressive craniectomy is increasingly advocated as necessary.

摘要

重度创伤性脑损伤患者可能会出现难以控制的颅内压升高，导致高死亡率和高发病率。即使在无法进行颅内监测的情况下，也可根据患者的临床状况和影像学检查结果对此作出预判。早期积极控制颅内压可能改善预后，必要时越来越多地主张进行外科减压性颅骨切除术。