颅脑手术后并发张力性气颅5例  

FIVE CASES OF TENSIVE PNEUMOCRANIUM FOLLOWING CRANIOCEREBRAL OPERATION

作　　者：谭平国[1] 钟志光[1] 林吉惠[1] 陈由芝[1] 

机构地区：[1]中山医科大学孙逸仙纪念医院神经外科

出　　处：《广东医学》1993年第5期248-249,共2页Guangdong Medical Journal

摘　　要：颅脑手术后并发张力性气颅少见。国内仅有个案报告。张力性气颅是一种严重的术后并发症,如缺乏认识和警惕性,常延误诊断,甚至致死。CT的应用提供早期确诊的手段。Five cases of tensive pneumocranium following craniocerebral operation are reported. The operations include trephination-irrigation and draining of chronic subdural hemotoma (3 cases), temporalparietal carvernous angio- ma-ecaomy (1 case) and third ventricle olig- odendroglioma-ectomy (1 case). The major clincal manitestations are the increase of intracranial pressure, consciousness disturbance and hemiplegia following the operation. Ten- sive pneumocranium occurs because of not only the occupation effect of the gas self, but also the strong reaction of the body to the change from two phases (solid-liquid phases) to three phases (solid-liquid-gaseous phases) in the cranium. The intensities of reactions of the patieuts to the change are different, leading to the different clinical manifestations. Threrfore, the diagnosi of this complications depends on both the vol- ume of intracranial gas and clinical manifes- tations, and the latter is even more impor- tant.

关 键 词：颅脑 手术后 张力性 气颅 并发症 

分 类 号：R651.106[医药卫生—外科学]