| 重型颅脑损伤术中急性脑膨出原因及防治 |
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| 引用本文： | 李斌,袁贤瑞,计绍云,贾若飞. 重型颅脑损伤术中急性脑膨出原因及防治[J]. 临床外科杂志, 2005, 13(5): 296-297 |
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| 作者姓名： | 李斌 袁贤瑞 计绍云 贾若飞 |
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| 作者单位： | 410008,长沙,中南大学湘雅医院;湖南省常德市第一人民医院 |
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| 摘 要： | 目的探讨重型颅脑损伤术中急性脑膨出的形成原因及有效的防治措施。方法回顾性分析76例重型颅脑损伤患者术中出现急性脑膨出的原因及防治措施的疗效。结果迟发性颅内血肿、弥漫性脑肿胀、侧裂区脑挫裂伤、脑疝后脑梗塞、呼吸道梗阻等是颅脑损伤术中急性脑膨出的主要原因。结论术中出现急性脑膨出的原因有多种,应及时复查头部CT,明确病因,准确处理,提高疗效。
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| 关 键 词： | 重型颅脑损伤 手术 急性脑膨出 |
| 文章编号： | 1005-6483(2005)05-0296-02 |
| 修稿时间： | 2004-08-09 |
Pathogeneses and preventive methods of acute encephalocele during traumatic cerebral operation |
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| LI Bin,YUAN Xian-rui,JI Shao-yun,et al.. Pathogeneses and preventive methods of acute encephalocele during traumatic cerebral operation[J]. Journal of Clinical Surgery, 2005, 13(5): 296-297 |
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| Authors: | LI Bin YUAN Xian-rui JI Shao-yun et al. |
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| Abstract: | Objective To discuss the reason for and preventive methods of acute encephalocele during traumatic cerebral operation.Methods Retrospective analysis of 76 patients with acute encephalocele was made.Results The main causes of acute encephalocele were delayed intracranial heamatomas,acute diffuse brain swelling,brain hernia with brain infarction,cerebral contusion and laceration in Sylvain tissue and the blocked respiratory pipe and so on.Conclusion There are many causes of encephalocele,so scanning CT timely,finding the causes and using the effective treatments were all impartment to improve the clinical effects. |
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| Keywords: | severe traumatic head injury operation acute encephalocele |
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