Comparative study of standard large trauma craniectomy and routine temporoparietal craniectomy in treating acute posttraumatic brain swelling
- VernacularTitle:外伤大骨瓣开颅术治疗外伤后急性脑肿胀的临床研究
- Author:
Wusi QIU
;
Qizhou JIANG
;
Zhiliang ZHANG
;
Keyong CHEN
;
Weiguo LIU
- Publication Type:Journal Article
- Keywords:
Traumatic brain injury;
Brain swelling;
Standard large trauma craniectomy;
Decompression;
Prognosis
- From:
Chinese Journal of Postgraduates of Medicine
2006;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of standard large trauma craniectomy in patients with acute posttraumatic brain swelling. Methods A cohort study was performed in 74 patients of acute posttraumatic brain swelling with midline shifting more than 5 mm, who were divided randomly into two groups: standard large trauma craniectomy group (n =37) and routine temporoparietal craniectomy group as control group (n =37). The vital sign, the intracranial pressure (ICP) and complications were observed during the treatment. The Glasgow outcome scale (GOS) and mortality rate as well as the complications were evaluated after treatment. Results The mean ICP in the large trauma craniectomy group at 24, 48, 72 and 96 hours was much lower than those of the control group ( P
