CAJ | 학술논문

目的探讨在颅脑损伤术中因迟发性颅内血肿导致急性脑膨出的治疗经验.方法对由于迟发性颅内血肿所致42例颅脑外伤术中出现急性脑膨出患者的临床资料进行回顾性分析,总结术中脑膨出的原因及治疗措施.结果该组急性脑膨出均由迟发性颅内血肿引起,均及时彻底清除血肿.患者存活33例,3个月后按GOS评定治疗效果康复良好20例,中度残废6例,重度残废4例,植物状态生存3例.结论术中出现急性脑膨出时应及时复查头部CT,明确迟发性颅内血肿后,应彻底清除血肿.
목적 탐토재로뇌손상술중인지발성로내혈종도치급성뇌팽출적치료경험.방법 대유우지발성로내혈종소치42례로뇌외상술중출현급성뇌팽출환자적림상자료진행회고성분석,총결술중뇌팽출적원인급치료조시.결과 해조급성뇌팽출균유지발성로내혈종인기,균급시철저청제혈종.환자존활33례,3개월후안GOS평정치료효과강복량호20례,중도잔폐6례,중도잔폐4례,식물상태생존3례.결론 술중출현급성뇌팽출시응급시복사두부CT,명학지발성로내혈종후,응철저청제혈종.
Objective To investigate the experience in the treatment of acute encephalocele associated with delayed intracranial hematoma during severe brain injury operation.Methods 42 patients suffered from acute encephalocele during brain injury operation were,retrospectively analyzed.Results All patients with acute encephalocele were associated with delayed intracranial hematoma.The effective treatment of acute encephalocele was to remove the hematoma out of the brain timely and thoroughly.33 patients survived the disorder of acute encephalocele,of which,good recovery occurred in 20 patients,moderate disability in 6 patients,severe disability in 4 patients,and vegetative state in 3 patients according to Glasgow Outcome Score 3 months later.Conclusion Head-CT scanning should be timely performed when intracperative acute encephalocele occurred,whereas the measures of efficacy improvement on acute encephalocele were to timely.