脑损伤后减压性颅骨切除术：对患者预后重要的因素。
Decompressive craniectomy following brain injury: factors important to patient outcome.
作者信息
Eghwrudjakpor PatrickO, Allison AkaribariB
机构信息
a Department of Surgery , University of Port Harcourt Teaching Hospital , Port Harcourt Nigeria.
出版信息
Libyan J Med. 2010 Jan;5(1):4620. doi: 10.3402/ljm.v5i0.4620.
Abstract
BACKGROUND
Decompressive craniectomy (DC) is often performed as an empirical lifesaving measure to protect the injured brain from the damaging effects of propagating oedema and intracranial hypertension. However, there are no clearly defined indications or specified guidelines for patient selection for the procedure.
AIMS
To evaluate outcome determinants and factors important in patient selection for the procedure.
METHODS
We reviewed the literature on DC, including single case reports and reported case series, to identify factors affecting outcome following the procedure, as well as its pitfalls and associated complications.
RESULTS
Glasgow coma score of 8 and above, age less than 50 years and early intervention were found to be among the most significant determinants of prognosis.
CONCLUSION
Improving patient selection for DC may be expected to further improve the outcome following the procedure in severely brain-injured patients.
摘要
背景
减压性颅骨切除术（DC）通常作为一种经验性的挽救生命的措施，以保护受伤的大脑免受进行性水肿和颅内高压的损害。然而，对于该手术的患者选择，没有明确界定的指征或特定的指南。
目的
评估该手术患者选择中的结局决定因素和重要因素。
方法
我们回顾了关于DC的文献，包括单例报告和报道的病例系列，以确定影响该手术后结局的因素，以及其陷阱和相关并发症。
结果
格拉斯哥昏迷评分8分及以上、年龄小于50岁和早期干预被发现是最重要的预后决定因素。
结论
有望通过改善DC的患者选择来进一步改善重度脑损伤患者手术后的结局。
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