保守及手术治疗双额叶脑挫裂伤临床研究

高晓，刘军

（陕西省延安市博爱医院，陕西 延安，716000）

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摘要：

目的 探究保守及手术治疗双额叶脑挫裂伤的临床价值。方法 选取我院收治的100例双额叶脑挫裂伤患者，依照患者意识情况将其分成保守组（CGS 评分9~12 分）与治疗组（CGS 评分3~8 分），各50例，分别实施保守治疗和双侧额叶开颅去骨瓣减压术治疗，比较两组患者的治疗结果。结果 两组患者中均未出现死亡病例，保守组中有19例患者中转手术。治疗组 患者治疗有效率为86.00%，显著高于保守组的77.42%，差异有统计学意义（P<0.05）。结论 对于双额叶脑挫裂伤患者，医护人员应仔细观察其临床特点和体征变化，动态监测患者的颅脑内CT改变，针对实际情况，选择保守或手术法进行治疗，如果患者符合手术指征，应当及时手术，以促进患者疾病转归。

关键词：双额叶脑挫裂伤；去骨瓣减压术；保守治疗；意识状态

中图分类号：R651.15文献标志码：A文章编号：2096-1413(2017)13-0080-02

Clinical research of conservative and surgical treatment in double frontal cerebral contusion
GAO Xiao, LIU Jun
(Yan an Bo ai Hospital, Yan an 716000, China)

ABSTRACT: Objective To explore the clinical value of conservative and surgical treatment in double frontal cerebral contusion. Methods One hundred cases of patients with double frontal cerebral contusion admitted in our hospital were divided into conservative group (CGS score 9-12 points) and treatment group (CGS score 3-8 points) according to the patient s consciousness, with 50 cases in each group, they were treated with conservative and bilateral frontal lobe to bone flap craniotomy decompression respectively, and the results were compared in the two groups. Results There was no death in the patients, and 19 patients in the conservative group transferred surgery. The effective rate of the treatment group was86.00%, which was significantly higher than 77.42% of the conservative group (P<0.05). Conclusion For patients with double frontal cerebral contusion, medical staff should carefully observe the clinical features and sign changes and dynamically monitor the brain CT changes of patients. According to the actual situation, the patients can be treated with the conservative or surgical treatment, if the patient meets the surgical indications, they should taken surgery to promote the outcome.
KEYWORDS: double frontal cerebral contusion; decompressive craniectomy; conservative treatment; state of consciousness

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