重型颅脑创伤患者术前血气酸碱度与术中脑膨出的相关性研究  

Correlation between preoperative blood gas pH and intraoperative encephalocele in patients with severe craniocerebral trauma

作　　者：钟向球 刘谦 植汉兴 李雄辉 潘秀武 何木良 ZHONG Xiangqiu;LIU Qian;ZHI Hanxing;LI Xionghui;PAN Xiuwu;HE Muliang(Hezhou Hospital of Traditional Chinese Medicine,Hezhou 542800,China)

机构地区：[1]贺州市中医医院,广西贺州542800

出　　处：《中国实用神经疾病杂志》2020年第20期1807-1812,共6页Chinese Journal of Practical Nervous Diseases

基　　金：贺州市科学研究与技术开发计划项目(编号:贺科攻1812008)。

摘　　要：目的分析重型颅脑损伤患者术中发生脑膨出的原因。方法回顾性分析60例接受重型颅脑创伤手术患者的临床资料,记录术中脑膨出的发生情况。将术中发生膨出的33例患者纳入观察组,未发生术中脑膨出的27例患者纳入对照组,对比分析2组患者术前血气分析结果,了解血气酸碱度与术中脑膨出的关系。结果观察组31例患者术前血气酸碱度下降,对照组仅5例术前血气分析下降,术前血气酸碱度下降患者易发生术中脑膨出。结论术前缺氧导致体内血气酸碱度下降,容易发生术中脑膨出,如术前能提前干预,可以降低术中脑膨出的发生率,改善患者预后。Objective To analyze the causes of intraoperative encephalocele in patients with severe craniocerebral injury.Methods The clinical data of 60 patients undergoing severe craniocerebral trauma surgery were retrospectively analyzed,and the occurrence of intraoperative encephalocele was recorded.33 patients with intraoperative encephalocele were divided into observation group and 27 patients without intraoperative encephalocele were divided into control group.The results of preoperative blood gas analysis were compared between the two groups to understand the relationship between blood gas acidity and intraoperative encephalocele.Results 31 patients in the observation group had decreased preoperative blood gas pH,while only 5 patients in the control group had decreased preoperative blood gas analysis.Patients with decreased preoperative blood gas pH were prone to intraoperative encephalocele.Conclusion The decrease of biood gas pH caused by preoperative hypoxia is easy to cause intraoperative encephalocele.Preoperative inrerention can reduce the incidence of intraoperative encephalocele and improve the prognosis of patients.

关 键 词：颅脑创伤 术前血气酸碱度 术中脑膨出 脑肿胀 颅内血肿 

分 类 号：R651.15[医药卫生—外科学]