去大骨瓣减压术治疗幕上大面积脑梗塞合并急性脑疝临床治疗体会  

Clinical Experience in the Treatment of Large Supratentorial Cerebral Infarction Combined with Acute Cerebral Hernia by Decompressive Craniectomy

作　　者：刘中涛 LIU Zhong-tao(Department Of Neurosurgery,Heze Traditional Chinese Medicine Hospital,Heze,Shandong,27400)

机构地区：[1]菏泽市中医医院神经外科,山东菏泽274000

出　　处：《智慧健康》2018年第27期45-46,共2页Smart Healthcare

摘　　要：目的探讨去大骨瓣减压术治疗幕上急性大面积脑梗塞合并急性脑疝的临床疗效预后。方法回顾性分析去大骨瓣减压术治疗幕上大面积脑梗塞合并急性脑疝恢复较好患者,总结其手术指征、手术时机、手术方法。结果经严格掌握适应症,积极手术治疗病人术后恢复理想,生活能自理。结论幕上急性大面积脑梗塞合并急性脑疝关键是控制脑水肿及颅内压增高,快速采用标准大骨瓣开颅的外减压术治疗,真正解除颅内高压,但要把握手术时机,尽早施行可以降低死亡率及致残率。Objective to explore the clinical curative effect of decompressive craniectomy for acute massive supratentorial cerebral infarction combined with acute cerebral hernia. Methods retrospective analysis was made on the patients with good recovery of acute cerebral hernia complicated with massive supratentorial cerebral infarction treated by large bone flap decompression. Results the patients with strict indications and active treatment were able to recover after operation and take care of themselves. Conclusion the key to the combination of acute cerebral hernia and supratentorial acute massive cerebral infarction is to control brain edema and increase intracranial pressure. External decompression with standard large bone flap craniotomy was performed to truly relieve intracranial hypertension. But the timing of surgery can reduce mortality and disability.

关 键 词：脑梗塞 去大骨瓣减压术 急性脑疝 

分 类 号：R651.1[医药卫生—外科学]