重型颅脑外伤开颅术中急性脑膨出26例临床分析  

CLINIC ANALYSIS OF 26 CASES WITH SEVERE HEAD TRAUMA CRANIOTOMY IN ACUTE BRAIN SWELLING

作　　者：董文明 张志学 董玉萍 

机构地区：[1]宁夏固原市医院神经外科,固原756000

出　　处：《现代预防医学》2010年第24期4685-4686,共2页Modern Preventive Medicine

摘　　要：[目的]分析重型颅脑外伤开颅术中发生急性脑膨出的原因,探讨其救治方法。[方法]回顾分析我院2006年6月~2010年6月收治的26例重型颅脑外伤开颅术中发生急性脑膨出患者的临床资料。[结果]术中迟发性脑血肿12例（46.2%）,急性弥漫性脑肿胀9例（34.6%）,外伤性大面积脑梗死7例（19.2%）。术后随访6个月,恢复良好4例（15.4%）,中残9例（34.6%）,重残5例（19.2%）,植物状态1例（3.8%）,死亡6例（23.1%）。[结论]重型颅脑外伤开颅术中发生急性脑膨出的原因较多,认真分析病因并针对不同的病因采取针对性的治疗,可以降低死亡率、提高生存率。[Objective]To analyze the reason of severe head trauma craniotomy in acute brain swelling,and explore its treatment methods.[Methods]Retrospective analysis was performed for the clinical data of 26 patients with severe brain trauma craniotomy in acute brain swelling in our hospital from June 2006 to June 2010.[Results]There were 12 cases with delayed cerebral hematoma（46.2%）,9 cases with acute diffuse brain swelling（34.6%）,and 7 cases with trauma of massive cerebral infarction in（19.2%）.After following up for 6 months,4 cases presented good recovery（15.4%）,9 cases were moderate disability（34.6%）,5 cases were severe disability（19.2%）,1 case was vegetative state（3.8%）,6 cases died（23.1%）.[Conclusion]There were many reasons for severe brain trauma craniotomy in acute brain swelling,a careful analysis of the causes for different causes and take appropriate treatment can reduce the mortality and improve survival.

关 键 词：重型颅脑外伤 急性脑膨出 颅脑外伤开颅术 

分 类 号：R651.1[医药卫生—外科学]