摘要
目的探讨重型颅脑损伤术中急性脑膨出的原因及处理对策。方法回顾性分析本院神经外科2008年1月～2012年10月40例重型颅脑损伤术中急性脑膨出患者的临床资料。结果引起重型颅脑损伤患者术中急性脑膨出的原因有进展性出血性损伤22例(55.0%),弥漫性脑肿胀11例(27.5%),长时间脑疝5例(12.5%),术中低氧血症2例(5.0%)。12例患者行单侧开颅手术,28例行双侧开颅手术;术后随访12个月,18例死亡(45.0%),存活22例患者中,恢复良好10例(25.0%),中度残疾7例(17.5%),重度残疾3例(7.5%),植物状态2例(5.0%)。结论重型颅脑损伤术中急性脑膨出原因较多,应根据不同病因,采取针对性治疗措施,以提高患者生存率。
Objective To investigate the cause and treatment of acute encephalocele during severe traumatic cerebral operation.Methods The clinical data of 40 cases with acute encephalocele during severe traumatic cerebral operation from January 2008 to October 2012 in Department of Neurosurgery of our hospital were retrospectively analyzed. Re- suits The causes of patients with acute encephalocele during severe traumatic cerebral operation included delayed in- tracranial hematoma in 22 cases （55.0%）, diffuse brain intraoperative hypoxemia in 2 cases （5.0%）.12 patients swelling in 10 cases（27.5%）, hernia lasting in 4 cases（12.5%）, underwent unilateral craniotomy operation, 28 patients under- went bilateral craniotomy operation; all patients were followed up for 12 months, 18 patients （45%）died, 10 patients （25%） recovered well in 22 patients survived, moderate disability Was in 7 cases （17.5%）, severe disability was in 3 cases （7.5%）, 2 cases （5%）were vegetative survival. Conclusion There are more causes of acute encephalocele during severe traumatic cerebral operation, it should be taken effective measures according to different causes, that can im- prove the survival rate of the patients.
出处
《中国当代医药》
2013年第27期178-179,共2页
China Modern Medicine
关键词
颅脑损伤
脑膨出
开颅手术
Brain injury
Encephalocele
Surgical operation
