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Báo cáo y học: "Effects of unilateral decompressive craniectomy on patients with unilateral acute post-traumatic brain swelling after severe traumatic brain injury"

o cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Effects of unilateral decompressive craniectomy on patients with unilateral acute post-traumatic brain swelling after severe traumatic brain injury. | Available online http ccforum.eom content 13 6 R185 Research Effects of unilateral decompressive craniectomy on patients with unilateral acute post-traumatic brain swelling after severe traumatic brain injury Wusi Qiu1 2 3 Chenchen Guo1 2 Hong Shen2 3 Keyong Chen1 Liang Wen2 Hongjie Huang1 Min Ding1 Li Sun1 Qizhou Jiang1 and Weiming Wang1 Department of Neurosurgery Hangzhou Second Hospital College of Medicine Hangzhou Normal University 1 26 Wenzhou Road Hangzhou 310015 China 2Brain Medicine Research Institute College of Medicine Zhejiang University 88 Jiefang Road Hangzhou 310009 China department of Neurosurgery Second Affiliated Hospital College of Medicine Zhejiang University 88 Jiefang Road Hangzhou 310009 China Contributed equally Corresponding author Hong Shen sh_2nd@163.com Received 6 Apr 2009 Revisions requested 3 Jun 2009 Revisions received 21 Aug 2009 Accepted 23 Nov 2009 Published 23 Nov 2009 Critical Care 2009 13 R185 doi 10.1186 cc8178 This article is online at http ccforum.com content 13 6 R1 85 2009 Qiu et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 20 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Acute post-traumatic brain swelling BS is one of the pathological forms that need emergent treatment following traumatic brain injury. There is controversy about the effects of craniotomy on acute post-traumatic BS. The aim of the present clinical study was to assess the efficacy of unilateral decompressive craniectomy DC or unilateral routine temporoparietal craniectomy on patients with unilateral acute post-traumatic BS. Methods Seventy-four patients of unilateral acute post-traumatic BS with midline shifting more than 5 mm were divided randomly into two groups unilateral DC group n 37 and unilateral routine temporoparietal