反常性脑疝的研究进展  

Recent advance in paradoxical herniation

作　　者：何佳伟 杨骐 张良 王占祥[3] He Jiawei;Yang Qi;Zhang Liang;Wang Zhanxiang(Department of Neuroscience,School of Medicine of Xiamen University,Xiamen 361100,China;Emergency Department,First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471003,China;Department of Neurosurgery,First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学医学院神经科学系,厦门361102 [2]河南科技大学第一附属医院急诊科,洛阳471003 [3]厦门大学附属第一医院神经外科,厦门361003

出　　处：《中华神经医学杂志》2022年第3期291-293,共3页Chinese Journal of Neuromedicine

基　　金：国家自然科学基金(82072777)。

摘　　要：反常性脑疝(PH)是骨瓣减压术后罕见的并发症,是指去骨瓣减压术后因大气压高于颅内压,加之重力作用使颅内内容物塌陷,并最终使脑实质通过小脑幕切迹或枕骨大孔疝出的现象。其治疗方法与传统治疗脑疝的方法相反,需通过尽早行颅骨成形术等措施提高颅内压。本文现围绕PH的临床表现、发生机制、诊断及治疗等方面进行综述,以期为临床诊治工作提供参考。Paradoxical herniation(PH)is a rare complication after decompressive craniectomy,which manifests as that intracranial contents collapse due to atmospheric pressure higher than intracranial pressure and gravity after decompression,and the brain parenchyma eventually herniates through the tentorial notch or the foramen magnum.Contrary to the traditional treatment of cerebral hernia,the intracranial pressure in PH patients should be increased by early cranioplasty or other measures.This article reviews the clinical manifestations,mechanism,diagnoses and treatments of PH,and provides further reference for clinical work.

关 键 词：反常性脑疝 去骨瓣减压术 颅骨成形术 

分 类 号：R651.1[医药卫生—外科学]