颅脑损伤术中脑膨出的原因及治疗探讨  

Causes of Encephalocele During Craniocerebral Operation and Treatment

作　　者：罗文忠[1] 孟永良[1] 郑波[1] 杨志明[1] 李志强[1] 邱戈[1] 胡帮洪[1] 陈勇吉[1] 高翔荣[1] 

机构地区：[1]崇州市人民医院神经外科,四川崇州611230

出　　处：《职业卫生与病伤》2010年第6期383-385,共3页Occupational Health and Damage

摘　　要：目的探讨颅脑损伤患者术中急性脑膨出的病因及治疗。方法 回顾性分析28例颅脑损伤患者开颅术中脑膨出形成原因及相应治疗。结果迟发性颅内血肿,弥漫性脑肿胀,长时间脑疝,创伤后休克、呼吸道不通畅导致脑组织缺血缺氧等是开颅术中急性脑膨出的主要原因。出院时按格拉斯哥预后评分(GCS):恢复良好8例,中残4例,重残6例,死亡10例,死亡率35.7%。结论分层次减压联合血压监控对预防脑膨出有显著疗效。Objective To investigate the causes of acute encephalocele during craniocerebral operation and provide evidence for the treatment.Methods The retrospective analysis was conducted on the causes of encephalocele during craniocerebral operations and treatment in 28 patients.Results Delayed intracranial hematomas,diffuse cerebral swelling,long-term herniation,traumatic shock,respiratory obstruction were the main causes of acute encephalocele during craniocerebral operation.By GCS criterion for standard,after discharge 10 cases（35.7%） died,6 cases were with serious deformity,4 cases were with middle deformity,and 8 cases recuperated well.Conclusion Stratified decompression and blood pressure monitoring is effective to prevent encephalocele.

关 键 词：颅脑损伤 开颅术 脑膨出 原因 治疗 

分 类 号：R651.15[医药卫生—外科学]