重型颅脑损伤术中急性脑膨出的原因及治疗  

Patients with severe head injury causes and treatment of acute encephalocele

作　　者：郭洪刚[1] 孟英[1] 张法学[1] 

机构地区：[1]莱芜钢铁集团有限公司医院神经外科,山东莱芜271104

出　　处：《泰山医学院学报》2014年第8期730-731,共2页Journal of Taishan Medical College

摘　　要：目的探讨重型颅脑损伤术中急性脑膨出的形成原因及防治措施。方法分析45例重型颅脑损伤去骨瓣减压术中出现急性脑膨出的患者的临床资料进行回顾性分析。结果本组经术后随防半年按GOS标准评定预后:恢复良好9例(20%),中度残疾16例(35.5%),重度残疾12例(26.7%),死亡8例(17.8%)。结论重型颅脑损伤术中出现急性脑膨出的原因有多种,针对不同原因采取有效的综合防治措施有助于改善患者预后及降低患者的死亡率。Objective：To explore the causes and treatment measures of acute encephalocele in severe traumatic head in-jury. Methods 45 cases of severe traumatic brain injury clinical data in patients with acute brain swelling occurs decompres-sive craniectomy in retrospective analysis. Results The results of this group following up six months after surgery assessed by GOS standard prognosis：good recovery in 9cases（20% ）,moderate disability in 15 cases（35. 5% ）,severe disability in 12cases（26. 7% ）,and 8 cases died（17. 8% ）. Conclusion There are many severe brain injury causes of acute encephalo-cele,to take effective integrated control measures for different reasons contribute to improved patient outcomes and reduce mortality.

关 键 词：重型颅脑损伤 急性脑膨出 防治 

分 类 号：R651.15[医药卫生—外科学]