重型颅脑损伤手术中急性脑膨出的原因分析及救治  

Analysis and treatment of acute encephalocele in the operation of severe craniocerebral injury

作　　者：吴明忠 WU Ming-zhong(Department of neurosurgery,guanxian central hospital,Shandong Liaocheng 252500,China)

机构地区：[1]山东冠县中心医院神经外科,山东聊城252500

出　　处：《临床医药文献电子杂志》2018年第15期2-3,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的对重型颅脑损伤手术中急性脑膨出问题的出现原因进行分析,给出相应的救治方法。方法从2016年3月~2017年3月在我院接受重型颅脑损伤手术并出现急性脑膨出情况的40例患者作为研究对象,采用回顾性分析方法,对情况的出现原因进行分析总结。结果出现急性脑膨出问题的主要原因为手术过程中出现迟发性颅内血肿、脑肿胀和广泛性脑挫裂伤等。结论针对重型颅脑损伤手术中出现急性脑膨出问题的情况进行解决,需要医护人员及时分析问题的出现原因,并促进患者颅内坏死组织和血肿的清除,进行一定的颅内减压处理,从而保证患者的生命安全,提高救治有效率。Objective To analyze the causes of acute encephalocele problems in the operation of severe craniocerebral injury and give the corresponding treatment methods.Methods From March 2016 to March 2017,40 patients who received severe craniocerebral injury surgery and acute encephalocele in our hospital were selected as the research objects,and the reasons for the occurrence were analyzed by retrospective analysis.Results The main causes of acute encephalocele were delayed intracranial hematoma,brain swelling and extensive cerebral contusion and laceration during the operation.Conclusion In the acute encephalocele in severe craniocerebral injury operation problems were solved,medical personnel should timely analyze the cause of the problem,and promote the removal of intracranial tissue necrosis and hematoma,intracranial decompression process,so as to ensure the safety of patients,improve the treatment efficiency.

关 键 词：重型颅脑损伤手术 急性脑膨出 原因分析 救治方法 

分 类 号：R743[医药卫生—神经病学与精神病学]