重型颅脑损伤致脑疝患者的救治(附145例报告)  

Analysis of Acute Cerebral Hernia Induced by Heavy Cerebral Injury:Report of 145 cases

作　　者：吴光辉[1] 高如生[1] 蔡智基[1] 林晖[1] 黄培根[1] 沈建城[1] 汤明章[1] 

机构地区：[1]宁德市医院神经外科,福建宁德352100

出　　处：《中国伤残医学》2008年第1期26-28,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨重型颅脑损伤致急性脑疝患者的手术治疗效果。方法:回顾分析我科2000年1月至2006年12月收治的145例脑外伤致脑疝患者的完整资料,总结救治颅脑外伤所致急性脑疝的术前准备、手术方式及术后处理的最佳方法。结果:145例患者抢救成功率51.03%,死亡率48.07%。恢复良好生活31%。结论:开通绿色通道,积极争取早期手术,充分减压,清除血肿,术后加强护理是成功救治急性脑疝患者的关键。Objective：To study the operation treatment of patient with acute cerebral hernia by heavy cerebral injury. Methods： From January 2000 to December 2006, a total of 145 cases with acute cerebral hernia induced by heavy cerebral injury in the preoperation, operation intervention. And management were analyzed. Results： The successful rate was 51.03 %, 31% patients recovered tO normal life. And the mortality was 48.97 %. Conclusion： The successful approach to treatment of acute cerebral hernia include should opening ＂green passage reducing＂. Full decompression at early stage , removing hematoma and reducing edema.

关 键 词：重型颅脑损伤 脑疝 手术治疗 

分 类 号：R651.1[医药卫生—外科学]