重型颅脑损伤术中脑膨出32例

目的探讨重型颅脑损伤开颅术中急性脑膨出的形成原因及防治措施。方法对32例重型颅脑损伤开颅术中急性脑膨出的原因、对策及预后进行回顾性分析,比较各种防治措施的疗效。结果按GOS标准,治疗后6个月评定治疗效果,恢复良好12例,中度残疾8例,重度残疾7例,死亡5例。结论术中迟发性颅内血肿形成、急性弥漫性脑肿胀、脑组织缺氧和低血压、长时间脑疝、严重脑挫裂伤等是颅脑损伤术中急性脑膨出的主要原因,正确判断脑膨出的性质,针对不同病因采取相应措施,可防治颅脑损伤术中脑膨出,降低重残率及病死率,取得良好疗效。

Analysis of acute intraoperative encephalocele in patients with severe craniocerebral trauma

Objective To summarize the causes and prophylactic therapeutic methods of acute intraoperative encephalocele in severe craniocerebral trauma patients.Methods Thirty-two patients with acute intraoperative encephalocele were retrospectively studied for the cause,tactic,prognosis and treating methods were compared.Results According to GOS of 32 patients with acute intraoperative encephalocele 6 months after the surgery,12 recovered well,8 moderately disabled,7 severely disabled and 5 died.Conclusion Delayed in...