摘要
Abstract
Objective To study brain incision hernia at different periods in craniocerebral trauma patients after large trauma craniotomy.Methods Seventy-six cases of craniocerebral trauma patients after large trauma craniotomy were ana-lyzed.The incidences and levels of incision hernia at different periods of early,mid,later were observed.The scores of GCS, GOS at different periods were compared.Results The total incidence rate of incision hernia was 85.5%,which of early,mid, later group was 40.8%,28.9%,1 5.8%,respectively.There were significant differences among the three periods.GCS scores of non-incision-hernia,early,mid,later group were 3.1 9 ± 0.31,3.46 ± 0.52,7.12 ± 0.44,13.24 ± 0.47,respectively.There were significant differences among three periods.The GCS scores of mid,later group were significantly higher than that of non-incision-hernia group.The GOS scores of non-incision-hernia,early,mid,later groups were 34.49 ±0.43,4.56 ±0.12,3.1 5 ± 0.14,1.64± 0.21,respectively.There were significant differences among three periods.The GOS scores of mid,later group were significantly lower than that of non-incision-hernia group.Conclusion Brain incision hernia in craniocerebral trauma pa-tients is most likely to occur in a week after operation.The lower GCS scores,the early incision hernia occurs;the later incision hernia occurs,the worse of the patient prognosis.关键词
颅脑外伤/大骨瓣减压术/脑切口疝/GCS 评分/GOS 评分Key words
Craniocerebral trauma/Large decompressive craniectomy/Brain incision hernia/GCS score/GOS score分类
医药卫生
