手术治疗弥漫性脑肿胀11例分析

目的：探讨重型颅脑损伤，弥漫性脑肿胀术中出现急剧脑膨出的治疗方法。方法：过去采用多种方法，包括去大骨板减压，快速单层关颅：术中切除脑组织行内减压，术后病人均全部死亡，现１１例病人行伤口敝开，二次手术切除膨出脑组织，结果：本组１１例中死亡６例余存活。结论：重型颅脑损伤术中脑膨出行伤口开放二期手术，不失为一种有效的治疗方法。

Treatment of diffuse cerebral deema by oerated: A analysiy of 11 cases

Objective: To investigate the treatment of severe head injure with diffuse cerebral edema and rapid encephalocele during operation. Methods: previously, varied patterns of operation were implored (e.g reducing intracranial pressure by block craniectomy and excision of cerebral tissue during one operation). However, all patients died after operation. Presently, the first operation was carried out with patients wound open and the second were done with cerebral tissue swelling out of the skull excised. Results: 6 of 11 patients died and 5 survive. Conclusions: It is an effective treatment that the first operation on the patient with severe head injure is carried out with wound open and the second is done later.