重型颅脑损伤术中急性脑膨出临床分析  

Clinical analysis of 33 cases with acute encephalocele during surgery for severe craniocerebral injury

作　　者：叶宇[1] 李颖[1] 贾军[1] 仪立志[1] 黄凯雄[1] 欧阳锡华[1] 

机构地区：[1]深圳市龙岗中心医院神经外科,广东深圳518000

出　　处：《海南医学院学报》2012年第2期204-206,共3页Journal of Hainan Medical University

基　　金：中国高校医学期刊临床专项资金项目(11221016)~~

摘　　要：目的:探讨重型颅脑损伤患者术中急性脑膨出的主要原因、临床表现和救治措施。方法:对33例重型颅脑损伤开颅术中出现急性脑膨出的临床资料进行回顾性分析。结果:所有患者均行急诊开颅手术治疗。术后恢复良好9例,中残2例,重残2例,植物生存9例,死亡11例。结论:迟发性颅内血肿和急性弥漫性脑肿胀是导致脑膨出的主要原因,早期诊断,针对不同的原因及时采取相应的措施处理是提高救治成功率的关键。Objective： To explore the main causes,clinical manifestation and emergent treatment of acute encephalocele during surgery for severe craniocerebral injury.Methods：Clinical data of 33 cases with acute encephalocele during surgery for severe craniocerebral brain injury were analyzed retrospectively.Results：All patients had digging skull operation.Nine had satisfactory recovery after surgery,2 were disabled moderately,2 were disabled severely,9 cases were in vegetative state,and 11 died.Conclusions： Delayed intracranial hematomas and acute diffuse brain swelling are the main causes of acute encephalocele.Earlier diagnosis,emergent corresponding treatment are the key to increase the survival rate.

关 键 词：重型颅脑损伤 脑膨出 临床分析 

分 类 号：R651[医药卫生—外科学]