临床神经外科杂志
臨床神經外科雜誌
림상신경외과잡지
JOURNAL OF CLINICAL NEUROSURGERY
2014年
3期
223-225
,共3页
贡伟一%潘天鸿%周金方
貢偉一%潘天鴻%週金方
공위일%반천홍%주금방
颅脑损伤%迟发性颅内血肿%急性脑膨出%手术策略
顱腦損傷%遲髮性顱內血腫%急性腦膨齣%手術策略
로뇌손상%지발성로내혈종%급성뇌팽출%수술책략
craniocerebral injury%delayed intracranial hematoma%acute brain swelling%operation strategy
目的:探讨颅脑损伤术中急性脑膨出的原因和手术处理。方法对34例颅脑外伤开颅术中出现急性脑膨出患者的临床资料进行回顾分析。结果进展性颅内血肿和急性弥漫性脑肿胀是颅脑损伤术中发生急性脑膨出的主要原因。迟发性颅内血肿的处理、双侧去骨瓣等可以降低颅脑外伤术中急性脑膨出的致重残率和致死率。术中及时复查CT可以为下步手术方案提供确凿的临床证据。结论颅脑损伤开颅术中急性脑膨出由多种因素引起,针对病因采取综合治疗是降低致残率和病死率的关键。
目的:探討顱腦損傷術中急性腦膨齣的原因和手術處理。方法對34例顱腦外傷開顱術中齣現急性腦膨齣患者的臨床資料進行迴顧分析。結果進展性顱內血腫和急性瀰漫性腦腫脹是顱腦損傷術中髮生急性腦膨齣的主要原因。遲髮性顱內血腫的處理、雙側去骨瓣等可以降低顱腦外傷術中急性腦膨齣的緻重殘率和緻死率。術中及時複查CT可以為下步手術方案提供確鑿的臨床證據。結論顱腦損傷開顱術中急性腦膨齣由多種因素引起,針對病因採取綜閤治療是降低緻殘率和病死率的關鍵。
목적:탐토로뇌손상술중급성뇌팽출적원인화수술처리。방법대34례로뇌외상개로술중출현급성뇌팽출환자적림상자료진행회고분석。결과진전성로내혈종화급성미만성뇌종창시로뇌손상술중발생급성뇌팽출적주요원인。지발성로내혈종적처리、쌍측거골판등가이강저로뇌외상술중급성뇌팽출적치중잔솔화치사솔。술중급시복사CT가이위하보수술방안제공학착적림상증거。결론로뇌손상개로술중급성뇌팽출유다충인소인기,침대병인채취종합치료시강저치잔솔화병사솔적관건。
Objective To discuss the causes and operation strategy of acute brain swelling during the operation of craniocerebral injury .Methods We reviewed and analyzed the clinical data of 34 patients with craniocerebral trauma who received craniotomy with the occurrence of acute brain swelling .Result The main causes of acute brain swelling during the operation of severe craniocerebral injury were delayed intracranial haematoma and acute diffuse brain swelling.Processing, bilateral delayed intracranial hematoma removing bone valve can reduce the acute brain swelling in craniocerebral injury operation caused by the severe disability rate and death rate .Intraoperative timely review of CT can provide irrefutable evidence for clinical operation program for the future .Conclusion There are many causes of brain swelling .Etiological treatment is the key to reducing morbidity and mortality .