长期昏迷患者高颈段脊髓电刺激促醒

董月青,张赛,李建国

武警医学 ›› 2012, Vol. 23 ›› Issue (6) : 531-533.

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武警医学 ›› 2012, Vol. 23 ›› Issue (6) : 531-533.
临床病例讨论

长期昏迷患者高颈段脊髓电刺激促醒

  • 董月青,张赛,李建国
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摘要

病例介绍 患者,男,21岁。主诉:脑创伤术后昏迷3个月。现病史:患者于3个月前,车祸伤及头部,送至“天津市第一中心医院”行头颅CT检查,显示:右侧颞枕叶脑挫裂伤,伴有蛛网膜下腔出血和脑室出血。2 h后患者由嗜睡转为昏迷,一侧瞳孔放大,再次行头颅CT检查,显示:右侧颞枕叶脑挫裂伤,伴有蛛网膜下腔出血和脑室出血、左侧额叶脑挫裂伤、脑疝(图1)。急诊行颅内血肿清除去骨瓣减压术。术后患者持续昏迷,行气管切开,留置胃管,鼻饲营养,保留尿管及抗炎及神经营养治疗。经治疗患者生命体征趋于平稳,但仍昏迷不醒,为进一步治疗2011年3月22日来我院脑系科就诊。

关键词

脊髓电刺激 / 康复 / 脑积水 / 昏迷

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导出引用
董月青,张赛,李建国. 长期昏迷患者高颈段脊髓电刺激促醒[J]. 武警医学. 2012, 23(6): 531-533
中图分类号: R651.1   

参考文献

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