重型颅脑损伤后弥漫性脑肿胀的诊治及预后分析

目的：探讨重型颅脑损伤后弥漫性脑肿胀的诊治方法及预后情况。方法：选取我院在2009年7月～2013年7月收治的120例重型颅脑损伤后弥漫性脑肿胀患者作为研究对象，对其应用CT扫描进行诊断，确诊后实施脱水治疗、高压氧治疗、亚低温等治疗，观察诊断及治疗结果。结果：120例重型颅脑损伤后弥漫性脑肿胀患者经手术治疗，35例（29．2％）死亡，6例（5．0％）植物生存，22例（18．3％）重度残疾，26例（21．7％）轻度残疾，31例（25．8％）恢复良好。结论：弥漫性脑肿胀的CT影像表现主要为第3脑室和基底池变小、闭塞，一旦确诊，应立即采取手术、脱水、亚低温、大剂量激素等治疗措施，以提高急救成功率，挽救患者生命。

The Diagnosis and Prognosis of Severe Craniocerebral Injury after Diffuse Brain Swelling

Objective：To investigate the diagnosis and treatment methods of severe craniocerebral injury and prognosis of diffuse brain swelling.Methods：in our hospital in 2009 July to 2013 July were treated 120 cases of severe craniocerebral injury patients with diffuse brain swelling as the research object , the application of CT scan for diagnosis , diagnosed after the implementation of dehydration therapy , hyperbaric oxygen therapy , mild hypothermia therapy , to observe the results of diagnosis and treatment .Results：120 patients with severe craniocerebral injury patients with diffuse brain swelling treated by operation , 35 patients （29.2%） died, 6 cases （5%） plant survival, 22 cases （18.3%） with severe disability, 26 cases （21.7%） with mild disability, 31 cases （25.8%） recovered well.Conclusion：CT imaging features of diffuse brain swelling is mainly the third ventricle and basal cistern becomes small , occlusion , once diagnosed , should take immediate operation , dehydration , hypothermia , large dose hormone treatment measures , in order to improve the successful rate of first aid, to save the lives of patients .