术中缓慢减压预防外伤后急性脑肿胀  

Gradual stepwise decompression in the treatment of post-traumatic acute brain swelling

作　　者：韩斌[1] 陆华[1] 蒋云召[1] 邱胜利[2] 

机构地区：[1]南通大学第三附属医院神经外科,无锡212041 [2]合肥市第二人民医院

出　　处：《临床神经外科杂志》2013年第1期39-40,共2页Journal of Clinical Neurosurgery

摘　　要：目的探讨术中缓慢减压技术在外伤后急性脑肿胀(PABS)中的应用效果。方法采用包括硬脑膜网状切开和有限渐次法等的缓慢减压技术,结合标准外伤大骨瓣对46例PABS患者进行开颅手术治疗。结果按GOS评分评价:死亡19例,存活27例,其中恢复良好8例,中残9例,重残10例。结论缓慢减压技术能有效预防术中出现急性脑膨出,降低病死率和改善预后。Objective To explore the efficacy of gradual stepwise decompression in the treatment of post-traumatic acute brain swelling（PABS）. Methods 46 cases of PABS were treated with standard large trauma craniotomy and combined with the gradual stepwise decompression which consists of making mesh-like dural and limited gradually methods. Results According to the GOS score evaluation showed the outcome was 19 patients died and 27 of survival including the good recovery in 8, moderate disability in 9 and severe disability in 10. Conclusions Gradual stepwise decompression techniques can be effective in preventing intraoperative acute encephalocele, reduce mortality and improve the prognosis.

关 键 词：脑肿胀 脑膨出 去骨瓣减压 

分 类 号：R651.15[医药卫生—外科学]