Clinical effect of hemisphere bone flap decompressive craniectomy and adjuvant mild hypothemia therapy for craniocerebral injury
YU Guoyuan
DUAN Xiaowei
WANG Xiwang
WANG Xiaoyan
WANG Jing
YANG Huatang
Abstract：Objective The clinical effect of hemisphere skull bone flap decompression and adjuvant mild hypothemia in combination with small dose of dehydration medication for the malignant high cranial pressure following Craniocerebral injury was discussed,and the proper methods to reduce the intracranial pressure by rational using of drugs were studied.Methods Early reintubation after hemisphere bone flap decompression and adjuvant mild hypothemia in combination with small dose of dehydration medication were perfomred for the treatment of malignant high cranial pressure.Temperature was maintained around 35 ℃ anus.Small dose of mannitol 125 mL rapid staticpoint was performed once per 4 ～ 6 hours and 40 to 60 mg frusemide was dropped once per 4 ～ 6 hours.Both two medication were given alternatively,and a nylon 40 mg static point was performed once per 4 ～6 hours.Results GOS was used to evaluate the chnical effect of 378 patiems:good recovery in 252 cases,severely disabled in 56 patients,vegetative survival in 18 cases,and death in 52 cases.The mortahty rate was 19％.Conclusion Hemisphere bone flap decompression and adjuvant mild hypothemia in combination with small dose of dehydration medication reduces effectively the morbidity and mortality of malignant high pressure after craniocerebral injury.
Keywords：Hemisphere skull bone flap decompressionLow temperature treatmentIn combination with small dose of dehydration medicinecraniocerebral injuryMalignant high cranial pressure
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 261-263 )