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[重度颅脑创伤合并脑挫裂伤灶的晚期手术结果]

[Late surgical results in severe craniocerebral trauma with foci of brain crushing].

作者信息

Zotov Iu V, Kasumov R D, Ivanova N E, Korovina V Iu

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1988 Sep-Oct(5):3-6.

PMID:3213342
Abstract

The long-term results of treatment in 130 patients with foci of crushing in the cerebral hemispheres were studied in follow-up periods of 12 months to 12 years. It was established that compensation of the disturbed functions of the central nervous system and the extent of social-occupational adaptation are dependent on the time and volume of the operative intervention, the severity of brain damage, the patients' age, the type and degree of manifestation of the hypertensive-dislocation syndrome, and the application of a complex of intensive therapy measures. A higher level of social-occupational adaptation is achieved when the focus of brain destruction is removed within the bounds of the destruction zone and before the development of the dislocation syndrome.

摘要

对130例大脑半球有挤压病灶患者进行了为期12个月至12年的随访,研究其治疗的长期效果。结果表明,中枢神经系统功能障碍的代偿情况以及社会职业适应程度取决于手术干预的时间和范围、脑损伤的严重程度、患者年龄、高血压-脱位综合征的类型和表现程度,以及综合强化治疗措施的应用。当在破坏区范围内且在脱位综合征发展之前切除脑破坏灶时,可实现更高水平的社会职业适应。

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1
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