重型颅脑损伤开颅术中脑膨出的治疗体会  

The treatment of acute intraoperative encephalocele in severe headinjury patients

作　　者：王守利[1] 崔凤启[1] 陈盟[1] 刘国栋[1] 闫立民[1] 李会华[1] 郝怀宇[1] 

机构地区：[1]北京市房山区良乡医院神经外科,102401

出　　处：《北京医学》2010年第10期799-800,共2页Beijing Medical Journal

摘　　要：目的探讨重型颅脑损伤开颅术中急性脑膨出的原因及治疗方法。方法对开颅术中出现急性脑膨出的37例患者进行回顾性分析。手术采用标准外伤大骨瓣开颅,术中采用过度通气、控制性降压以及内减压等措施,必要时行双侧开颅去骨瓣减压。结果术后随访3～6个月,按GOS标准评估愈后,恢复良好4例,中、重残5例,植物生存8例,死亡20例。结论重型颅脑损伤术中出现急性脑膨出的原因是多方面的,针对不同原因采取不同措施,可以改善预后。Objective To summarize the causes and therapeutic methods of acute intra-operative encephalocele in severe head-injury patients. Methods Thirty-seven severe head-injury patients with acute intraoperative encephalocele were analyzed retrospectively. Results Taking GOS criterion as standard, after being followed up for 3 to 6 months, 4 cases recuperated well, middle or serious deformity in 5 cases, persistent vegetative state in 8 cases and 20 cases were died. Conclusion The reasons of acute cephalocele in the craniocerebral trauma operation is complicate, therefore identifying the reasons and handling it appropriately can improve the prognosis.

关 键 词：颅脑损伤 脑膨出 开颅手术 

分 类 号：R651.15[医药卫生—外科学]