CAJ | 학술논문

目的探讨颅脑损伤术中脑膨出的原因及治疗对策.方法对颅脑损伤术中发生脑膨出患者55例的临床资料进行回顾性分析.结果 55例术中发生急性脑膨出的原因包括迟发性颅内血肿(28例),广泛严重性脑挫裂伤、急性脑肿胀(19例),晚期脑疝、血肿压迫时间过长、脑疝后脑梗死(4例),创伤性休克和术中低血压导致脑组织缺血、缺氧(4例).出院时按GOS评定预后:良好3例,中残5例,重残8例,植物生存5例,死亡34例.结论迟发性颅内血肿、急性脑肿胀是术中急性脑膨出的主要原因.明确颅脑损伤术中发生急性脑膨出的原因,尽早采取相应措施,可降低患者病死率.
목적 탐토로뇌손상술중뇌팽출적원인급치료대책.방법 대로뇌손상술중발생뇌팽출환자55례적림상자료진행회고성분석.결과 55례술중발생급성뇌팽출적원인포괄지발성로내혈종(28례),엄범엄중성뇌좌렬상、급성뇌종창(19례),만기뇌산、혈종압박시간과장、뇌산후뇌경사(4례),창상성휴극화술중저혈압도치뇌조직결혈、결양(4례).출원시안GOS평정예후:량호3례,중잔5례,중잔8례,식물생존5례,사망34례.결론 지발성로내혈종、급성뇌종창시술중급성뇌팽출적주요원인.명학로뇌손상술중발생급성뇌팽출적원인,진조채취상응조시,가강저환자병사솔.
Objective To investigate the causes and treatment strategies of intraoperative encephalocele brain injury.Meethods 55 traumatic brain injury patients with intraoperative encephalocele were selected,the clinical data were retrospectively analyzed.Results 55 patients undergoing acute encephalocele reasons including widespread severity of brain contusion,acute brain swelling(19cases),delayed intracranial hematoma(28 cases),the late herniation,hematoma too long(4 cases),traumatic shock and hypotension leading to cerebral ischemia,hypoxia (4 cases).Assessed by GOS outcome at discharge:Good 3 cases,moderate disability in 5 cases,8 cases of severe disability,vegetative five cases,of whom 34 died.Conclusion Delayed intracranial hematoma,acutebrain swelling is an acute intraoperative encephalocele main reason.Clear intraoperative brain injury causes acute encephalocele,take appropriate measures as soon as possible,in order to achieve better results and reduce mortality.