CAJ | 학술논문

目的：探讨重型颅脑损伤术中急性脑膨出的形成原因及防治措施。方法分析45例重型颅脑损伤去骨瓣减压术中出现急性脑膨出的患者的临床资料进行回顾性分析。结果本组经术后随防半年按 GOS 标准评定预后：恢复良好9例（20%），中度残疾16例（35.5%），重度残疾12例（26.7%），死亡8例（17.8%）。结论重型颅脑损伤术中出现急性脑膨出的原因有多种，针对不同原因采取有效的综合防治措施有助于改善患者预后及降低患者的死亡率。
목적：탐토중형로뇌손상술중급성뇌팽출적형성원인급방치조시。방법분석45례중형로뇌손상거골판감압술중출현급성뇌팽출적환자적림상자료진행회고성분석。결과본조경술후수방반년안 GOS 표준평정예후：회복량호9례（20%），중도잔질16례（35.5%），중도잔질12례（26.7%），사망8례（17.8%）。결론중형로뇌손상술중출현급성뇌팽출적원인유다충，침대불동원인채취유효적종합방치조시유조우개선환자예후급강저환자적사망솔。
Objective:To explore the causes and treatment measures of acute encephalocele in severe traumatic head in-jury. Methods 45 cases of severe traumatic brain injury clinical data in patients with acute brain swelling occurs decompres-sive craniectomy in retrospective analysis. Results The results of this group following up six months after surgery assessed by GOS standard prognosis:good recovery in 9cases(20% ),moderate disability in 15 cases(35. 5% ),severe disability in 12cases(26. 7% ),and 8 cases died(17. 8% ). Conclusion There are many severe brain injury causes of acute encephalo-cele,to take effective integrated control measures for different reasons contribute to improved patient outcomes and reduce mortality.