Clinical effect of bilateral craniotomy in treatment of severe traumatic brain injury
- VernacularTitle:双侧开颅术治疗重型颅脑损伤临床效果观察
- Author:
Huiwen ZHU
1
;
Haiqin LU
Author Information
1. 山东省淄博市中心医院外科
- Keywords:
Bilateral craniotomy;
Severe traumatic brain injury;
Clinical effect
- From:
China Modern Doctor
2015;(12):22-24
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of craniotomy bilateral in treatment of severe traumatic brain injury. Methods Selected 50 patients underwent bilateral craniotomy in treatment of severe brain trauma as research subjects, recorded intracranial pressure changes at the first 1 d, the first 3 d, 7 d after operation, and the follow-up after 6 months, the body recovery scores were compared. Results The intracranial pressure in patients was on a downward trend postoperative 1 d, 3 d, 7 d. Three patients died, accounting for 6.00%;Good recovery in 24 cases, accounting for 48.00%; Moderate disability in 16 cases, accounting for 32.00%; Six cases of severe disability, accounting for 12.00%, in a vegetative state in one case, accounting for 2.00%. Conclusion The bilateral craniotomy should be used early on severe traumatic brain injury patients with bilateral craniotomy indications, it can effectively improve the treatment effect, reduce morbidity and mortality, treatment of severe traumatic brain injury is an effective method, but need to strictly control surgical indications and perioperative good job.
