| 继发性脑干损伤的救治 |
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| 引用本文： | 张煜,崔尧元,李秋平,胡凡,朱卫,周浩,江瀛川,余勇.继发性脑干损伤的救治[J].中国临床医学,2003,10(2):190-191. |
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| 作者姓名： | 张煜 崔尧元 李秋平 胡凡 朱卫 周浩 江瀛川 余勇 |
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| 作者单位： | 复旦大学附属中山医院神经外科,上海,200032 |
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| 摘 要： | 目的 :了解影响继发性脑干损伤抢救效果的重要环节。方法 :分析了 72例继发性脑干损伤患者救治经过 ,包括高危病人观察 ,术前颅压的控制 ,手术方法的选择 ,术后处理及神经康复等。结果 :72例患者中 ,6 4例天幕裂孔疝术后存活 4 5例 ,占70 .3%。其中 ,恢复良好 ,生活基本自理 34例。 2h内手术者成活率明显提高 (P <0 .0 1)。 8例枕骨大孔疝术后均死亡。结论 :尽快手术可提高天幕裂孔疝的抢救成功率。枕骨大孔疝的救治关键在于即时处理原发病灶以防止其发生
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| 关 键 词： | 继发性脑干损伤 颅压 高危病人 天幕裂孔疝 枕骨大孔疝 神经功能障碍 |
Management of Secondary Brain Stem Injury |
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| Zhang Yu Cui Yaoyuan Li Qiuping,et al..Management of Secondary Brain Stem Injury[J].Chinese Journal Of Clinical Medicine,2003,10(2):190-191. |
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| Authors: | Zhang Yu Cui Yaoyuan Li Qiuping |
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| Abstract: | Objective: To investigate the key factors that influence the result of treatment of secondary brain stem injury. Methods: It is a retrospective survey of 72 cases of secondary brain stem injury caused by acute brain hernia. Results: 45 out of the 64 patients suffered from tentorial herniation survived after operation. The instant operations seemed to be significantly related to the success treatment (P<0.01). All the 8 patients with tonsillar herniation died. Conclusion: Early diagnosis and operation is contribute to the prognosis of tentorial herniation. Prevention seems to be the best strategy towards tonsillar herniation. |
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| Keywords: | Brain stem injury Intracranial hypertension Encephalocele |
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