Saribekian A S, Lebedev V V, Sumskiĭ L I, Klimov A G
Zh Vopr Neirokhir Im N N Burdenko. 1985 Jul-Aug(4):30-6.
The results of surgical treatment of 110 patients with severe craniocerebral trauma and acute midbrain dislocation syndrome are discussed. The principal operation for removal of the injured site (hematoma or focus of brain crushing) was supplemented in all cases by mildly injurious tentoriotomy. As a result, lethality in the group of patients subjected to tentoriotomy decreased. Criteria (clinical, electrophysiological, and angiographic) are characterized on the basis of which the indications for tentoriotomy in craniocerebral trauma are determined.
本文讨论了110例重型颅脑损伤合并急性中脑移位综合征患者的手术治疗结果。所有病例均在主要手术（清除损伤部位，即血肿或脑挫裂伤灶）的基础上，辅以轻度损伤的小脑幕切开术。结果显示，接受小脑幕切开术的患者组死亡率降低。文中还阐述了确定颅脑损伤中小脑幕切开术适应症的标准（临床、电生理和血管造影方面）。
