摘要
目的探讨中、重型颅脑损伤术中脑膨出的类型、原因及处理。方法对神经外科手术中出现脑膨出的46例中、重型颅脑损伤的临床资料进行回顾性分析。结果术中脑膨出CT证实进展性出血性损伤(PHI)诱发35例,急性弥漫性脑肿胀或术前伴有严重脑水肿7例,大面积脑梗死或其他4例。对不同原因所致脑膨出采取相应处理,对侧试探性开颅或快速关颅、CT定位行迟发性血肿清除术是解决术中大部分脑膨出的理想手段。结论 迟发性血肿引起的脑膨出如处理及时,预后远较其他原因引起的脑膨出理想。
Objective To explore the type,cause and management of cenencephalocele in operation of Moderate,Severe head injury.Methods To retrospective analyse the clinical data of 46 cases with cenencephalocele in neurosurgical operation.Results CT confirm that cenencephalocele induced by progressive hemorrhage injury is 35 cases,by diffuse cerebral swelling or accompaning brain edema is 7 cases,cerebral infarction or else is 4 cases.Exploringly opering in opposite side or quick shutting skull,CT Locating,cleaning tardive blood tumor is most effective means of solve many cenencephaloceles of operation.Conclusion The curative effect is better than others,if cenencephalocele induced by progressive hemorrhage injury should be treated promptly.
出处
《中外医学研究》
2011年第20期16-17,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
中、重型颅脑损伤
术中脑膨出
诊断与治疗
Moderate severe head injury
Cenencephalocele in operation
Diagnosis and treatment
