颅脑损伤术中急性脑膨出的临床分析

目的 对颅脑损伤术中急性脑膨出原因和有效防治措施进行探讨.方法 对43例颅脑损伤术中急性脑膨出的临床资料进行同顾性总结.结果 术后死亡24例,存活19例.术后GOS评定:恢复良好5例,中残2例,重残7例,植物生存5例.结论 进展性出血性损伤、急性弥漫性脑肿胀等是造成颅脑损伤术中脑膨出的主要原因,针对不同病因采取相应措施是防治术中出现急性脑膨出的有效措施,提高临床疗效.

Analysis of acute intraoperative encephalocele in craniocerebrai injury

Objective To explore the causes and prevention for acute intraoperative encephalocele in craniocerebral injury. Methods Fourty-three patients with acute intraoperative encephalocele in craniocerebral injury were analyzed retrospectively. Results After operation, 19 patients survived and 24 died. According to GOS, 5 patients had good recovery, 2 moderate disability, 7 severe disability and 5 vegetatiive survival. Conclusions Progressive hemorrhage injury, acute diffuse brain swelling were the main causes of intraoperative encephalocele. According to different causes, appropriate measures should be taken, the acute intraoperative encephalocele in head injured patients could be prevented and treated effectively.