CAJ | 학술논문

目的：探讨重型颅脑损伤患者在手术中出现急性脑膨出的原因、处理办法和有效的防范措施。方法回顾性分析51例手术中发生急性脑膨出颅脑损伤患者的病历资料。结果对于术中发生急性脑膨出症状的颅脑损伤患者的原因，24例因迟发性颅内出血导致，21例因急性脑肿胀原因导致,其他原因6例。经过治疗，以格拉斯哥预后评分评定预后显示为5例良好，12例中残，19例重残，5例植物生存和10例死亡。结论急性脑膨出主要是因为术中出现迟发性颅内血肿和急性脑肿胀所致，发生急性脑膨出症状后，应认真分析急性脑膨出的原因，做出迅速关颅、行内减压、扩大手术区域或行对侧开颅的决定，积极分析原因，采取有效的应对措施，挽救患者生命。
목적：탐토중형로뇌손상환자재수술중출현급성뇌팽출적원인、처리판법화유효적방범조시。방법회고성분석51례수술중발생급성뇌팽출로뇌손상환자적병력자료。결과대우술중발생급성뇌팽출증상적로뇌손상환자적원인，24례인지발성로내출혈도치，21례인급성뇌종창원인도치,기타원인6례。경과치료，이격랍사가예후평분평정예후현시위5례량호，12례중잔，19례중잔，5례식물생존화10례사망。결론급성뇌팽출주요시인위술중출현지발성로내혈종화급성뇌종창소치，발생급성뇌팽출증상후，응인진분석급성뇌팽출적원인，주출신속관로、행내감압、확대수술구역혹행대측개로적결정，적겁분석원인，채취유효적응대조시，만구환자생명。
Objective To investigate the cause, injury of acute encephalocele during surgery in patients with severe craniocerebral treatment and prevention.Methods Retrospective analyzed 51 cases of acute encephalocele in patients with craniocerebral injury operation in medical records.Results In the study patients occurred acute encephalocele symptoms after the study found that 24 cases due to delayed intracranial hemorrhage resulted, 21 patients with acute brain swelling causes, other reasons in 6 cases. After treatment, the prognosis of the Glasgow after scoring 5 cases of good, 12 cases of residual, 19 cases of severe disability, 5 cases of plant survival and 10 cases of death.Conclusion Acute encephalocele was mainly because of delayed intracranial hematoma and acute cerebral swelling caused by, after the occurrence of acute encephalocele symptoms, should be careful analysis of acute encephalocele reasons and make quickly closing cranial, lining pressure, expanding the operation area or deciding the craniotomy of the other side, then actively took measures to save the lives of patients.