颅脑损伤致颅内积气80例临床分析  

Clinical analysis of intracranial pneumatocele induced by traumatic craniocerebral injury

作　　者：杨先文[1] 王凡[1] 侯敏[1] 张跃何 佳林[1] 

机构地区：[1]蒲江县人民医院神经外科,四川蒲江611630

出　　处：《西部医学》2014年第2期201-203,共3页Medical Journal of West China

摘　　要：目的探讨颅脑损伤所致单纯颅内积气、颅内积气合并脑脊液漏及张力性气颅的诊断与治疗方法。方法分析80例颅脑损伤患者发生单纯颅内积气、颅内积气合并脑脊液漏及张力性气颅患者的颅内积气产生原因、临床表现、诊断及治疗过程。结果 80例颅脑损伤致颅内积气患者中,合并脑脊液漏22例,合并张力性气颅2例,合并颅内感染3例。76例颅内积气患者治愈,4例颅内积气患者因特重型原发性脑损伤死亡。结论颅脑损伤所致颅内积气发生率高,合并脑脊液耳鼻漏比例高,部分病例可发生复发性气颅,甚至张力性气颅或颅内感染,都需积极妥善处理。Objective To study the diagnosis and treatment of the simple intracranial pneumatocele due to traumat- ic craniocerebral injury, combined with intracranial cerebrospinal fluid leakage and tension pneumocephalus. Methods 80 patients with simple intracranial pneumatocele due to traumatic craniocerehral injury, combined with intracranial cerebro- spinal fluid leakage and tension pneumocephalus were analyzed including clinical manifestation, diagnosis and treatment process. Results Of 80 patients with intracranial pneumatocele, there were 22 cases complicated with liquorrhoea and 2 cases complicated with tension pneumocephalus. There were 76 case cured and 4 cases died. Conclusion There is high incidence of intracranial pneumatocele due to craniocerebral post-injury and ear-nose leakage of cerebrospinal fluid.

关 键 词：颅脑损伤 颅内积气 脑脊液漏 张力性气颅 

分 类 号：R765.15[医药卫生—耳鼻咽喉科]