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目的探讨后颅窝去骨瓣减压治疗重度原发性脑干损伤的疗效。方法47例重度原发性脑干伤患者随机分成两组,骨瓣减压组23例行后颅窝减压后行常规治疗,对照组24例行单纯非手术综合治疗。结果23例行后颅窝减压的患者中,存活15例,死亡8例;24例对照组患者中,存活9例,死亡15例,两组相比差异有统计学意义(P<0.05)。结论后颅窝减压能有效地缓解脑干周围的压力,从而降低脑干损伤的死亡率。
Objective To investigate the curative effect of posterior cranial fossa decompression on severe primary brain stem injury. Methods Forty-seven patients with severe primary brain stem injury were divided into two groups randomly. Twenty-three patients underwent decompression of the posterior fossa of the bone flap underwent routine treatment, while 24 patients in the control group received simple non-surgical treatment. Results Of the 23 patients who underwent posterior cranial fossa decompression, 15 survived and 8 died. Of the 24 patients in the control group, 9 survived and 15 died. There was significant difference between the two groups (P <0.05) . Conclusions Posterior fossa decompression can effectively relieve pressure around the brainstem, thus reducing the mortality of brain stem injury.