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颅脑损伤是临床上常见创伤之一,对重型颅脑损伤患者为了缓解颅高压而施行去骨瓣减压术。减压术后颅骨缺损破坏了颅腔正常合理的平衡,诱发或加重外伤性脑积水。往年颅骨缺损并脑积水采取分期手术治疗,术后恢复时间长,且并发症多。2008年12月~2014年12月我科对21例重型颅脑损伤术后颅骨缺损并脑积水采用早期、同期颅骨修补并脑室-腹腔分流术,效果满意,现报告如下。
Craniocerebral injury is one of the most common clinical trauma. Craniotomy decompression is used to relieve cranial hypertension in patients with severe craniocerebral injury. Decompression skull defects destroy the normal and reasonable balance of the cranial cavity, induce or aggravate traumatic hydrocephalus. In previous years, skull defects and hydrocephalus to take staged surgery, postoperative recovery time is long, and complications. December 2008 ~ December 2014 our department of 21 cases of severe craniocerebral injury after skull defect and hydrocephalus using early, same skull repair and ventricle-peritoneal shunt, the effect is satisfactory, are as follows.