摘要
目的探讨高血压脑出血幕上小骨窗开颅术后脑水肿的特点及处理方法。方法回顾性分析62例行幕上小骨窗开颅清除血肿的高血压脑出血病例,分析其脑水肿的治疗及其预后。结果术后CT复查,均有不同程度的脑水肿,颅内压正常者13例,颅内压轻度增高28例,中度增高11例,重度增高10例。术后颅内压的增高与血肿量呈正相关(P<0.05)。结论小骨窗开颅血肿清除术后均有不同程度的脑水肿,还可能发生严重的脑水肿,开始脱水的时机及脱水量的选择是治疗的关键。
[Objective] To study the characteristic point and treatment method of minimal invasive operation of patients with hypertensive intracerebral hemorrhage. [Method] 62 cases of patients with hypertensive intracerebral hemorrhage were reviewed after minimal invasive operation and analyzed the treatment and prognosis of the hydrocephalus. [Result] All of cases have different degree hydrocephalus. The intracranial press （ICP） in 13 cases of patients were normal and 28 cases of ICP were lightly increase and in 11 cases were middling increase and in 10 cases were badly increase. The increase of ICP after operation were correlative with the size of haematoma. [Conclusion] There were different degree hydrocephalus after minimal invasive operation and even may be severe hydrocephalus. It is the important aspect that beginning opportunity of dehydration therapy and the dosage choice of dehydrating drug.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第17期2683-2685,共3页
China Journal of Modern Medicine
关键词
脑出血
小骨窗
脑水肿
intracerebral hemorrhage
minimal invasive
hydrocephalus
