Application of damage control theory in bilateral craniotomy operation of severe craniocerebral trauma
10.3760/cma.j.issn.1673-4904.2014.26.012
- VernacularTitle:创伤控制理论在特重型颅脑损伤双侧开颅手术中的应用
- Author:
Zhijie ZHANG
;
Liang XIA
;
Liping WU
;
Bo ZHANG
- Publication Type:Journal Article
- Keywords:
Craniocerebral trauma;
Surgical procedures,operative;
Control trauma
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(26):32-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and evaluate the application value of damage control theory in bilateral craniotomy operation of severe craniocerebral trauma.Methods Seventy patients with Glasgow coma scale score ≤ 5 scores were divided into 2 groups by random digits table method with 35 cases each:standard trauma craniotomy group (normal group),non-standard craniotomy and small dural window exposure strategy group (improved group).The clinical data were compared.Results There was no significant difference in postoperative cerebral tissue bone window embedded meal,large area cerebral infarction incidence rate between two groups (P ＞ 0.05).There was significant difference in the duration of surgery,blood transfusion amount within 24 hours,traumatic epileptic seizure within 1 month,the acute intraoperative encephalocele between normal group and improved group [(2.80 ± 0.63) h vs.(4.21 ± 1.04) h,(3.90 ± 1.02) U vs.(5.55 ± 1.32)U,14.3％(5/35) vs.48.6％(17/35),5.7％(2/35) vs.25.7％(9/35)] (P ＜0.05).Followed up for 6 months,good prognosis,moderate disability,severe disability,vegetative state,death was 4,4,8,6,13 cases in normal group and 8,9,5,4,9 cases in improved group,and there was significant difference (x2 =5.040,P =0.025).Conclusion Severe craniocerebral trauma bilateral craniotomy damage is bigger,damage control theory to guide the improved operation method,can improve the rescue efficiency.
