| 重型颅脑损伤术中急性脑膨出的原因以及防治 |
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| 引用本文： | 沙龙金,吴贵平,曾文胜,王广斌. 重型颅脑损伤术中急性脑膨出的原因以及防治[J]. 中国医师进修杂志, 2006, 29(15): 7-8 |
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| 作者姓名： | 沙龙金 吴贵平 曾文胜 王广斌 |
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| 作者单位： | 523110,东莞,中山大学附属东华医院神经外科 |
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| 摘 要： | 目的探讨重型颅脑损伤手术中急性脑膨出的原因及防治措施。方法回顾性分析38例重型颅脑损伤患者术中出现急性脑膨出的原因以及防治措施的疗效。结果迟发性颅内血肿、弥漫性脑肿胀、侧裂区脑挫裂伤、脑组织缺血、缺氧等是重型颅脑损伤术中急性脑膨出的主要原因。结论彻底清除血肿及迟发性血肿,充分减压,降低颅内压,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。
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| 关 键 词： | 颅脑外伤 急性脑膨出 手术 |
| 修稿时间： | 2005-12-06 |
Pathogeneses and preventive methods of acute encephalocele during traumatic cerebral operation |
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| SHA Long-jin,WU Gui-ping,ZENG Wen-sheng,WANG Guang-bin. Pathogeneses and preventive methods of acute encephalocele during traumatic cerebral operation[J]. Chinese Journal of Postgraduates of Medicine, 2006, 29(15): 7-8 |
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| Authors: | SHA Long-jin WU Gui-ping ZENG Wen-sheng WANG Guang-bin |
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| Abstract: | Objective To discuss the reasons for and preventive methods of acute encephalocele during traumatic cerebral operation.Methods Retrospective analysis of 38 patients with acute encephalocele was made.Results The main cause of acute encephalocele were delayed intracranial hematomas,acute diffuse brain swelling,cerebral contusion and laceration in Sylvain tissue and ischemic anoxia.Conclusion Complete removal of hematoma and delayed hematoma,sufficient decompression and decrease of ICP are effective methods for prevention and treatment of acute encephalocele. |
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| Keywords: | Cerebral trauma Acute encephalocele Operation |
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