外伤后急性弥漫性脑肿胀的诊治  

Diagnosis and treatment of post-traumatic acute diffuse brain swelling

作　　者：吴刚[1] 张世明[1] 

机构地区：[1]苏州大学附属第一医院神经外科,215006

出　　处：《临床神经外科杂志》2005年第3期107-109,共3页Journal of Clinical Neurosurgery

基　　金：江苏省医学重点学科资助项目苏卫科教[2003]19号

摘　　要：目的探讨外伤后急性弥漫性脑肿胀(PADBS)诊断和治疗。方法对我院2004年7月- 2005年6月收治PADBS 30例的临床资料进行回顾性分析。结果按GOS分级:Ⅴ级5例、Ⅳ级8例、Ⅲ级3例、Ⅱ级2例、Ⅰ级(死亡)12例。结论PADBS无特异性症状和体征,诊断主要依靠头颅CT,综合治疗为主,包括加强脱水、激素、过度换气、巴比妥疗法、全身支持等,如果合并颅内血肿应予以手术治疗。Objective To explore the diagnosis and treatment of post traumatic acute diffuse brain swelling （PADBS）. Methods From July 2004 to June 2005, the clinical data of 30 cases with PADBS were analyzed retrospectively . Rusults According to GOS classification, 5 cases in Ⅴ , 8 cases in Ⅳ , 3 cases in Ⅲ , 2 cases in Ⅱ, 12 cases in Ⅰ （death）. Conclusions Diagnosis of PADBS has no specific clinical symptom, mainly depending on head CT. The treatment of PADBS is a combined therapy, including enforced dehydration, large dose hormone, super-respiration, sustentation therapy and so on. It needs surgical operation with intracranial hematoma.

关 键 词：弥漫性脑肿胀 C T诊断 综合治疗 

分 类 号：R651.15[医药卫生—外科学]