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颅脑外伤术中急性脑膨出原因及防治
引用本文:苏吉春,张建林,辛昌明,宁波. 颅脑外伤术中急性脑膨出原因及防治[J]. 泰山医学院学报, 2003, 24(3): 247-248
作者姓名:苏吉春  张建林  辛昌明  宁波
作者单位:泰山医学院第一教学医院神经外科,山东,泰安,271000
摘    要:目的 探讨颅脑外伤手术中急性脑膨出的原因及有效的防治措施。方法 回顾性分析18例患者术中出现急性脑膨出的原因及防治措施的疗效。结果 重型颅脑损伤、急性脑肿胀、术中继发颅内血肿形成、长时间脑组织缺血缺氧等是颅脑外伤手术中急性脑膨出的主要原因。本组病例死亡11例,占61%,存活7例,占39%。结论 彻底清除血肿,充分减压、降低颅内压,控制血压,改善脑部供血、供氧等是预防及治疗术中脑膨出的有效措施。

关 键 词:颅脑外伤 急性脑膨出 防治
文章编号:1004-7115(2003)03-0247-02
修稿时间:2003-05-12

Pathogeneses and preventive methods of acute cehencephalole during traumatic cerebral operation
SU Ji-chun,ZHANG Jian lin,XIN Chang ming,NING Bo. Pathogeneses and preventive methods of acute cehencephalole during traumatic cerebral operation[J]. Journal of Taishan Medical College, 2003, 24(3): 247-248
Authors:SU Ji-chun  ZHANG Jian lin  XIN Chang ming  NING Bo
Abstract:Objective: To discuss the reasons for and preventive methods of acute cenencephalocele during traumatic cerebral operation Methods: Retrospective analysis of 18 patients with acute cenencephalocele was made.Results: Serious cerebral trauma, acute cerebral swelling, secondary intracerebral hematoma and ischemic anoxia were main reasons for acute cenencephalocele Conclusion: Complete clearance of hematoma, sufficient decompression and decrease of ICP are effective methods for prevention and treatment of acute cenencephalocele
Keywords:cerebral trauma  acute cenencephalocele  prevention and treatment
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