急性外伤性颅内血肿致脑疝的抢救体会  

Rescue for cerebral hernia caused by acute traumatic intracrani alhematoma

作　　者：李相龙[1] 金光石[1] 李成福[2] 任光旭[1] 

机构地区：[1]延边大学医学院附属医院神经外科,吉林延吉133000 [2]延边大学医学院附属医院胸外科,吉林延吉133000

出　　处：《延边大学医学学报》2003年第3期200-203,共4页Journal of Medical Science Yanbian University

摘　　要：[目的 ]总结分析锥颅抢救外伤性颅内血肿致脑疝的临床效果 .[方法 ]对 78例外伤性颅内血肿致脑疝病人均施行锥颅引出部分血肿 ,缓解病情的进一步恶化 ,赢得时间行开颅术 .[结果 ]锥颅后有47例的脑疝症状立即获得改善 ;开颅术后存活 62例 ,其中植物生存 9例 ,死亡 16例 .[结论 ]对急性外伤性颅内血肿继发脑疝的病人 ,快速锥颅是迅速降低颅内高压 ,抢救脑疝的一个良好手段 。OBJECTIVE?To investigate the clinic effects of sphenotrisia to rescue the patients with the cerebral hernia caused by a cute traumatic intracranial hematoma.?METHODS?78 cases of cerebra l hernia caused by acute traumatic intracranial hematoma underwent sphenotrisia to prevent its deterioration and save time for exploration of skull.?RE SULTS?After sphenotrisia, the symptoms of cerebral hernia were immediat ely improved in 47 cases, and after craniotomy, the survivals were 62 cases, veg etative static survivals 9 cases, and 16 cases were died.?CONCLUSION? The sphenotrisia is a good method to be quickly reduce the intracranial pressure for the cerebral hernia caused by acute traumatic intracranial hematoma , however, it can not substitute for the craniotomy.

关 键 词：脑疝 血肿 颅骨切开术 

分 类 号：R651.1[医药卫生—外科学]