摘要
目的探讨重型颅脑损伤术中急性脑膨出的防治措施。方法回顾性分析28例重型颅脑损伤术中急性脑膨出患者的临床资料。结果28例患者中,按格拉斯哥预后评分(GOS)评价疗效:术后1分(死亡)5例;生存23例,随访3个月,4分10例,3分8例,2分5例。结论充分减压、降低颅内压、彻底清除血肿、改善脑部供血和供氧等是预防及治疗术中脑膨出的有效措施。
Objective To explore the operation severe head injury prevention and treatment of acute encephalocele.Methods Retrospective analysis the clinical data of 28 cases in patients of acute encephalocele in intraoperative appear with major craniocerebral.Results 28 patients,according to GOS to evaluative curative effect:5 died of postoperative in 1 point.The survival of 23 cases were followed up for 3 months,the 4 points in 10 cases,3 points in 8 cases,2 points in 5 cases.Conclusion full decompression,lower intracranial pressure,completely remove the hematoma,improving brain blood supply,oxygen and other prevention and treatment of intraoperative encephalocele effective measures.
出处
《实用临床医学（江西）》
CAS
2010年第6期55-56,61,共3页
Practical Clinical Medicine
关键词
重型颅脑损伤
急性脑膨出
外科手术
major craniocerebral injury
acute encephalocele
surgery
