Title: Decompressive craniectomy for the treatment of large area of ischemic cerebral vascular disease:prognosis and influence factors
Abstract: Objective To summarize prognostic factors influencing the effect of decompressive craniectomy on a large area of ischemic cerebrovascular disease.Methods Retrospective analysis was made of 147 cases of large area of ischemic cerebrovascular disease patients undergoing decompressive craniectomy in clinical efficacy.With causes of death as the end point of the evaluation,analysis was made of the relationship between death and different age,etiology,timing of operation,operation mode,the brain midline shift.Results Fifty-seven patients died after surgery due to increased intracranial lesions,49 cases over 60 died.Combined rheumatic heart disease,infective endocarditis,hypertension resulted in death in 54 cases.The highest is mortality,operative mortality after 48 hours was 47 cases.Forty-eight died with the brain midline shifting more than 1 cm.Conclusion Prognosis of decompressive craniectomy is related with age,etiology,timing and manner of operation,the degree of brain midline shift.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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