摘要
Abstract
Objective To explore the effects of surgical or non-surgical treatment on the prognosis of patients with cerebral contusion .Methods To analysis the relationship of prognosis between the methods of surgical or non-surgical therapy for 170 patients of cerebral contusion with volume from 40 ml to 60 ml.Patients were divided into two groups according to the volume of cerebral contusion within 36 hours, in which cerebral contusion of less than or equal to 50 ml volume as a low volume group (Group A),or more than 50 ml as high volume group(Group B).In group A,there were 98 cases,of 47cases were geiven surgical treatment .While in group B, there were 72 cases, 38 underwent surgical treatment.Results In the group A,the morbidities and mortalities of patients in surgical and non-surgical treatment group were the same , while in the group B , the morbidities and mortalities of patients in surgical and non-surgical treatment group had significant difference .The patients with surgical treatment had a higher good recovery rate by 30. 18%, lower morbidities by 20.44%and mortalities by 9.76%.Conclusion Within 36 hours after injury for patients with cerebral contusion volume less than or equal to 50 ml,conservative treatment would be better choice ,while for patients with cerebral contusion volume more than 50 ml,surgery should be considered with priority .关键词
脑挫裂伤/GOS评分/手术治疗/非手术治疗Key words
cerebral contusion/GOS score/surgical treatment/non-surgical treatment分类
医药卫生
