急性脑肿胀为主的重型颅脑外伤治疗体会  

Experience in the Treatment of Severe Craniocerebral Injury Mainly due to Acute Brain Swelling

作　　者：王勇 WANG Yong(Neurosurgery Department,Anlu Puai Hospital,Anlu Hubei 432600,China)

机构地区：[1]湖北省安陆市普爱医院神经外科,湖北安陆432600

出　　处：《中国继续医学教育》2021年第19期153-156,共4页China Continuing Medical Education

摘　　要：目的研讨急性脑肿胀为主的重型颅脑外伤治疗效果。方法选取我院100例急性脑肿胀为主的重型颅脑外伤患者,对患者实施保守治疗。若血肿量超过30 mL,通过影像学检查,患者环池、脑肿胀完全消失,患者存在低血压、误吸以及脑缺氧等状况,而且保守治疗后颅内压仍然升高以及血肿有增大趋势,建议对患者尽早开展手术治疗。结果 100例患者实施保守治疗87例,手术治疗10例,死亡3例,残疾8例。治疗后,患者神经功能改善的优于治疗前(P <0.05)。结论针对急性脑肿胀为主的重型颅脑外伤患者建议先开展保守治疗,若病情持续恶化,再开展手术,从而减低手术对机体损伤性。Objective To study the therapeutic effect of severe craniocerebral injury with acute brain swelling.Methods 100 cases of severe craniocerebral injury with acute brain swelling were selected and treated conservatively.If the volume of hematoma was more than 30 mL,through imaging examination,the patient’s cistern and brain swelling would disappear completely,the patient had hypotension,aspiration and brain hypoxia,and the intracranial pressure would still increase after conservative treatment,and the hematoma would increase.Results 87 cases were treated conservatively,10 cases were treated surgically,3 cases died and 8 cases were disabled.After treatment,the improvement of neurological function was better than before(P<0.05).Conclusion It is suggested that conservative treatment should be carried out first for the patients with severe craniocerebral injury mainly due to acute brain swelling.If the condition continues to worsen,then surgery should be carried out,so as to reduce the injury of surgery to the body.

关 键 词：重型 急性脑肿胀 颅脑外伤治疗 神经功能 保守治疗 手术治疗 

分 类 号：R651[医药卫生—外科学]