The Use and Effect of Large Trauma Craniotomy on Severe Traumatic Brain Injury_West China Medical Journal

Authors：

 SONGWei-zheng ¹ , LIUJia-gang ² , CAIPing ³

1. Department of neurosurgery, The Fifth Chengdu People's Hospital, Chengdu, Sichuan 611130, P. R. China;
2. Department of neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Gastroscope Room, the fifth Chengdu People's Hospital, Chengdu, Sichuan 611130, P. R. China;

Corresponding author：

Keywords：

Severe brain injury; Large trauma craniotomy; Therapeutic effect

DOI：

10.7507/1002-0179.20140505

Video：

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Objective To investigate the effects of large trauma craniotomy on severe traumatic brain injury. Methods A total of 132 cases of severe traumatic brain injury adopted large trauma craniotomy between July 2008 and August 2013, and the clinical data were retrospectively analyzed. Results According to the results of GOS assessment at discharge, 67 patients (50.75%) were satisfied, 26 (19.70%) were mildly disable, 10 (7.58%) were severely disable, 12 (9.09%) were in vegetative state, and 17 (12.88%) were dead. Conclusion Correct use of large trauma craniotomy on severe brain injury cases will help to improve the treatment outcome, reduce complications and improve quality of survival.

Citation： SONGWei-zheng, LIUJia-gang, CAIPing. The Use and Effect of Large Trauma Craniotomy on Severe Traumatic Brain Injury. West China Medical Journal, 2014, 29(9): 1647-1649. doi: 10.7507/1002-0179.20140505 Copy

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12.	董文明,张志学,董玉萍.重型颅脑外伤开颅术中急性脑膨出26例临床分析[J].现代预防医学,2010,37(24):4685-4686.
13.	王遵海.重型颅脑损伤手术患者死亡原因分析[J].安徽卫生职业技术学院学报,2009,8(1):35-36.
14.	江基尧,李维平,徐蔚,等.标准外伤大骨瓣与常规骨瓣治疗重型颅脑损伤多中心前瞻性临床对照研究[J].中华神经外科杂志,2004,20(1):40-43.
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1. Becker DP,Gade GF,Young HF,et al.Diagnosis and treatment of head injury in adults[M]//Youmans JR.Neurological surgery.3rd ed.Philadelphia:WB Saunders,1990:2017-2148.
2. 江基尧.介绍一种美国临床常用的标准外伤大骨瓣开颅术[J].中华神经外科杂志,1998,14(6):381.
3. 平海江.标准外伤大骨瓣开颅术治疗重型颅脑损伤[J].山东医药,2007,47(18):43.
4. 徐斌,钟建荣,周次生.标准大骨瓣减压与常规去骨瓣减压治疗重型颅脑损伤疗效比较[J].广东医学,2009,30(6):961-962.
5. 徐震,黄李法,吕晓皑,等.大骨瓣减压对不同年龄重型颅脑创伤患者脑血流量及脑代谢的影响[J].中华神经外科杂志,2011,27(1):62-64.
6. Soustiel JF,Sviri GE,Mahamid E,et al.Cerebral blood flow and metabolism following decompressive craniectomy for control of increased intracranial pressure[J].Neurosurgery,2010,67(1):65-72.
7. Nakagawa K,Hills NK,Kamel H,et al.The effect of decompressive hemicraniectomy on brain temperature after severe brain injury[J].Neurocrit Care,2011,15(1):101-106.
8. 顿志平,王洪亮,尚景瑞,等.外伤大骨瓣一期分瓣回置的临床应用研究[J].中华神经医学杂志,2006,5(10):1045-1047.
9. Yang Ch,Li Q,Wu C,et al.Decompressive craniectomy or not:intraoperative experiences in 41 patients with severe traumatic brain injury[J].Chin J Traumatol,2012,15(3):158-161.
10. 杨朝华,李鹏程,李强,等.重型颅脑损伤脑疝139例治疗分析[J].中华神经外科杂志,2013,29(2):138-141.
11. 吕爱宾,郑志新.重度颅脑损伤术中急性脑膨出原因及处理[J].安徽卫生职业技术学院学报,2010,9(5):22-23,46.
12. 董文明,张志学,董玉萍.重型颅脑外伤开颅术中急性脑膨出26例临床分析[J].现代预防医学,2010,37(24):4685-4686.
13. 王遵海.重型颅脑损伤手术患者死亡原因分析[J].安徽卫生职业技术学院学报,2009,8(1):35-36.
14. 江基尧,李维平,徐蔚,等.标准外伤大骨瓣与常规骨瓣治疗重型颅脑损伤多中心前瞻性临床对照研究[J].中华神经外科杂志,2004,20(1):40-43.
15. 王会洪.急性颅脑损伤患者的临床治疗[J].华西医学,2010,25(2):349-350.

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