重型颅脑损伤急性弥漫性脑肿胀的临床特点和治疗措施  

Clinical features and therapeutic measures of diffuse brain swelling in severe craniocerebral trauma

作　　者：魏璐城[1] 李卫贤[1] 蒋金泉[1] 郑伟[2] 黄文华[2] 

机构地区：[1]遵义医学院第五附属医院神经外科,广东珠海519100 [2]南方医科大学基础医学院广东省创伤救治科研中心,广东广州510515

出　　处：《南方医科大学学报》2011年第4期698-700,共3页Journal of Southern Medical University

基　　金：广东省自然科学基金团队项目(06200171)

摘　　要：目的对134例重型颅脑损伤急性弥漫性脑肿胀患者的临床特点、治疗措施以及预后情况进行探讨研究,进而总结出一套较为合适的救治方案。方法对本组134例急性弥漫性脑肿胀患者手术治疗和非手术治疗,以及预后进行回顾性分析。结果手术组的76例患者中存活55例占手术组的72.4%,死亡21例占27.6%;非手术组的58例患者中存活43例占非手术组的74.1%,死亡15例占25.9%。结论早期采取综合措施积极救治是提高重型颅脑损伤急性弥漫性脑肿胀患者疗效的关键。Objective To investigate the clinical features of diffuse brain swelling following severe craniocerebral trauma and explore the optimized treatment protocols.Methods A total of 134 cases of craniocerebral trauma with diffuse brain swelling receiving surgical treatment（n=76） and conservative therapy（n=580） were analyzed retrospectively for the clinical outcomes.Results Of the 76 surgical patients,55 survived with a survival rate of 72.4% as compared with the rate of（75.9%,43/58） in the conservative therapy group.Conclusion Early implementation of comprehensive measures is of critical importance in the management of severe craniocerebral trauma with diffuse brain swelling.

关 键 词：重型颅脑损伤 急性弥漫性脑肿胀 

分 类 号：R651.15[医药卫生—外科学]