摘要
目的:探讨颅脑损伤患者术中急性脑膨出的病因、诊断及治疗。方法:对127例术中发生急性脑膨出的颅脑损伤患者的临床资料进行回顾性分析。结果:急性脑膨出的原因为同侧脑肿胀者74例,为对侧迟发性血肿者51例,而为同侧迟发性血肿者2例。共死亡48例(37.8%),其中31例因脑疝死亡。结论:通过钻孔探查或积极的CT扫描,及时发现颅脑损伤患者术中急性脑膨出的原因,并尽早正确处理极其重要,是抢救此类患者成功的关键。
Objective： To explore the etiology, diagnosis and treatment of acute expulsion of brain tissue during operation in traumatic brain injury. Methods： One hundred and twenty-seven cases having traumatic brain injury with acute expulsion of brain tissue during operation were retrospectively analyzed. Results： The reasons of acute expulsion of brain tissue were brain swelling in 74 cases, contr-lateral delayed hematoma in 51 cases and ipsilateral delayed hematoma in 2 cases. A total of 48 cases died （37.8%）, and 31 cases died of cerebral herniation. Conclusion： It is extremely important and also the key to success to save these patients that exploratory drilling or a positive CT scan, the timely discovering the reasons of acute expulsion of brain tissue and its correct treatment as soon as possible.
出处
《华西医学》
CAS
2009年第5期1070-1072,共3页
West China Medical Journal
关键词
颅脑损伤
急性术中脑膨出
诊断
治疗
brain injury
acute intraoperative encephalocele
diagnosis
treatment
