摘要
目的探讨颅脑损伤患者术中急性脑膨出的病因及治疗。方法 回顾性分析28例颅脑损伤患者开颅术中脑膨出形成原因及相应治疗。结果迟发性颅内血肿,弥漫性脑肿胀,长时间脑疝,创伤后休克、呼吸道不通畅导致脑组织缺血缺氧等是开颅术中急性脑膨出的主要原因。出院时按格拉斯哥预后评分(GCS):恢复良好8例,中残4例,重残6例,死亡10例,死亡率35.7%。结论分层次减压联合血压监控对预防脑膨出有显著疗效。
Objective To investigate the causes of acute encephalocele during craniocerebral operation and provide evidence for the treatment.Methods The retrospective analysis was conducted on the causes of encephalocele during craniocerebral operations and treatment in 28 patients.Results Delayed intracranial hematomas,diffuse cerebral swelling,long-term herniation,traumatic shock,respiratory obstruction were the main causes of acute encephalocele during craniocerebral operation.By GCS criterion for standard,after discharge 10 cases（35.7%） died,6 cases were with serious deformity,4 cases were with middle deformity,and 8 cases recuperated well.Conclusion Stratified decompression and blood pressure monitoring is effective to prevent encephalocele.
出处
《职业卫生与病伤》
2010年第6期383-385,共3页
Occupational Health and Damage
关键词
颅脑损伤
开颅术
脑膨出
原因
治疗
Craniocerebral injury
Craniocerebral operations
Encephalocele
Treatment
