重型颅脑外伤术中急性脑膨出的临床分析

目的探讨重型颅脑损伤术中迟发性血肿引发急性脑膨出的原因和处理策略。方法分析33例重型颅脑损伤术中迟发性血肿引发急性脑膨出的原因及分类,并对治疗方法与结果进行评价。结果 33例患者中双侧开颅27例,存活16例（48.5%）,死亡17例（51.5%%）。术后疗效采用GOS标准,于伤后治疗6个月评定结果。术后植物生存2例（12.5%）,重残2例（12.5%）,中残4例（25%）,轻残2例（12.5%）,良好6例（37.5%）。结论迟发性血肿是重型颅脑外伤术中引起急性脑膨出的主要原因之一,手术中处理正确,可以减少脑膨出的发生。

Clinical analysis of acute brain swelling in severe brain injury

Objective To discussed the acute brain swelling caused by delayed hematoma during the surgery operation performinng severe craniocerebral injury.Methods The clinical of 33 patients with acute brain swelling caused by delayed hematoma in severe craniocerebral injury were analyzed.Results Bilateral craniotomy was 27 patients in total of 33 cases,16 patients survived（48.5%） and 17 cases died（51.5%）.There were two cases with plant survival after surgery（12.5%）,two cases with severe disability（12.5%）,four with moderate disability（25%）,two with moderate disability in cases（12.5%） and six with good cover（37.5%）.Conclusions Delayed hematoma is one of the main causes during the operation on patients with acute brain swelling caused by severe brain injury.