重型颅脑损伤术中急性脑膨出原因及治疗方法  

Application of bilateral craniotomy on the acute encephalocele during severe head injury

作　　者：田爱民[1] 张合林[1] 戚建国[1] 齐再利[1] 刘涛[1] 

机构地区：[1]山东济南市第三人民医院神经外科,济南250101

出　　处：《中国实用神经疾病杂志》2011年第8期15-17,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨重度颅脑损伤急性脑膨出的原因及最佳治疗方案。方法回顾性分析63例采用双侧开颅治疗重度颅脑损伤术中急性脑膨出病人的临床资料。结果恢复良好12例,中残16例,重残10例,植物生存8例,死亡17例。结论迟发性颅内血肿和急性弥漫性脑肿胀是颅脑损伤开颅术中急性脑膨出的主要原因,而采用双侧开颅可明显提高抢救成功率和病人的生存质量。Objective To discuss the reasons and the best treatment of the encephalocele during severe head injury.Methods The clinical data of 63 patients with acute encephalocele during severe head injury used bilateral craniotomy method were retrospectively analyzed.Results Good recovery in 12patients,moderate disability in 12 patients,severe disability in 10 patients,vegetative state in 8 patients,death in 17 patients Conclusion Delayed intracranial hematoma and acute diffuse brain swelling are the main reasons of craniotomy brain injury in acute encephalocele,and using bilateral craniotomy can significantly increase the survival rate and quality of life.

关 键 词：颅脑损伤 手术 脑水肿 脑膨出 

分 类 号：R651.11[医药卫生—外科学]