急性重型颅脑损伤的预后评估与手术方法选择

 为探讨急性重型颅脑损伤病人的预后评估因素,讨论了7项相关因素,对预后均有一定意义,应将多种因素综合分析.发现中脑及中脑周围池的改变意义最大,并提出了手术指征:(1)幕上血肿>30 ml、幕下>10 ml;(2)有脑疝征;(3)意识清,但中线移位>10 mm,侧脑室受压.

Prognosis assessment and indications of operation of acute severe craniocerebral injury

To probe into the prognosis assessment of acute severe craniocerebral injury, we discussed seven factors related to prognosis assessment, which all have certain reliability and should be comprehensively analyzed. Among those factors, the change, in midbrain and its surrounding pool are of greatest significance. In this article, the indications of operation are specified as follows: (1) Supratentorial hematocele >30 ml, subtentorial hematocele >10 ml; (2)Herniation syndrome; (3) patient's consciousness is clear, but shift of mid-line structure>10 mm, lateral ventricle is pressed.