CAJ | 학술논문

目的：探讨重型颅脑损伤后弥漫性脑肿胀的诊治方法及预后情况。方法：选取我院在2009年7月～2013年7月收治的120例重型颅脑损伤后弥漫性脑肿胀患者作为研究对象，对其应用CT扫描进行诊断，确诊后实施脱水治疗、高压氧治疗、亚低温等治疗，观察诊断及治疗结果。结果：120例重型颅脑损伤后弥漫性脑肿胀患者经手术治疗，35例（29．2％）死亡，6例（5．0％）植物生存，22例（18．3％）重度残疾，26例（21．7％）轻度残疾，31例（25．8％）恢复良好。结论：弥漫性脑肿胀的CT影像表现主要为第3脑室和基底池变小、闭塞，一旦确诊，应立即采取手术、脱水、亚低温、大剂量激素等治疗措施，以提高急救成功率，挽救患者生命。
목적：탐토중형로뇌손상후미만성뇌종창적진치방법급예후정황。방법：선취아원재2009년7월～2013년7월수치적120례중형로뇌손상후미만성뇌종창환자작위연구대상，대기응용CT소묘진행진단，학진후실시탈수치료、고압양치료、아저온등치료，관찰진단급치료결과。결과：120례중형로뇌손상후미만성뇌종창환자경수술치료，35례（29．2％）사망，6례（5．0％）식물생존，22례（18．3％）중도잔질，26례（21．7％）경도잔질，31례（25．8％）회복량호。결론：미만성뇌종창적CT영상표현주요위제3뇌실화기저지변소、폐새，일단학진，응립즉채취수술、탈수、아저온、대제량격소등치료조시，이제고급구성공솔，만구환자생명。
Objective:To investigate the diagnosis and treatment methods of severe craniocerebral injury and prognosis of diffuse brain swelling.Methods:in our hospital in 2009 July to 2013 July were treated 120 cases of severe craniocerebral injury patients with diffuse brain swelling as the research object , the application of CT scan for diagnosis , diagnosed after the implementation of dehydration therapy , hyperbaric oxygen therapy , mild hypothermia therapy , to observe the results of diagnosis and treatment .Results:120 patients with severe craniocerebral injury patients with diffuse brain swelling treated by operation , 35 patients (29.2%) died, 6 cases (5%) plant survival, 22 cases (18.3%) with severe disability, 26 cases (21.7%) with mild disability, 31 cases (25.8%) recovered well.Conclusion:CT imaging features of diffuse brain swelling is mainly the third ventricle and basal cistern becomes small , occlusion , once diagnosed , should take immediate operation , dehydration , hypothermia , large dose hormone treatment measures , in order to improve the successful rate of first aid, to save the lives of patients .