摘要
目的探讨颅脑外伤行开颅术中急性脑膨出的原因,总结防治措施。方法收集笔者所在医院2009年1月～2012年2月收治的颅脑外伤患者行开颅术中发生急性脑膨的患者40例,对其临床资料进行回顾性分析。结果影响颅脑外伤开颅术中发生急性脑膨出患者预后的主要原因是迟发性颅内血肿,术后因发生迟发性血肿而引起死亡的比例占68.75%。另外严重的脑挫裂伤、弥漫性脑肿胀、创伤性休克等均是影响患者预后的主要因素。结论对于颅脑外伤患者入院后应密切观察病情变化,谨慎评估以选择正确的治疗方法,积极防治术中及术后并发症,以降低患者病残率和病死率。
Objective To investigate the cause of acute encephalocele craniotomy in traumatic brain injury, and summary of control measures. Methods 40 cases of acute encephalocele patients were collectted in the author＇s hospital from January 2009 to February 2012 with craniocerebral trauma,clinical data was retrospectively analyzed. Results The main reason of acute encephalocele with craniocerebral trauma was delayed intracranial hematoma after operation, it led to a mortality rate of 68.75%.Severe contusion and laceration of brain,diffuse brain swelling, traumatic shock were the main factors affecting the prognosis of patients.Conclusion For craniocerebral trauma patients after admission should be closely observed, careful evaluation to select the correct method of treatment, prevention of intraoperative and postoperative complications,in order to reduce the morbidity and mortality of patients.
出处
《中国医药科学》
2013年第2期194-195,共2页
China Medicine And Pharmacy
关键词
颅脑外伤
急性脑膨出
原因
防治
Craniocerebral trauma
Acute encephalocele
Reason
Prevention
