中国实用神经疾病杂志Issue(8):62-63,64,3.
重型颅脑损伤术中急性脑膨出29例救治分析
Clinical analysis of severe craniocerebral injury with intraoperative acute encephalocele in 18 cases
罗东 1林艳梅 1黄履群 1梁永艺1
作者信息
- 1. 广东佛山市禅城区人民医院脑外科 佛山 528026
- 折叠
摘要
Abstract
Objective to summarize the experiences in treating severe craniocerebral injury with Intraoperative acute en-cephalocele.Methods The clinical data of 29 patients with severe craniocerebral injury complicated with intraoperative acute en-cephalocele was retrospectively analyzed. Results 14 cases died (48.3% ) ,3 cases (10.3% ) in plant survival ,2 case (6.9% in severe disabilities) ,4 cases (13.8% ) in light damage ,6 patients (20.7% ) in good recovery ,intraoperative late intracranial he-matoma ,acute diffuse brain swelling after trauma were the main causes for intraoperative acute encephalocele.Conclusion Timely clearing etiology for surgery may improve the prognosis ,taking hyperventilation ,controlled hypotension to reduce in-tracranial pressure ,completely clearing intracranial hematoma ,full decompression ,improving cerebral ischemia and hypoxia dur-ing surgery are effective measures for the treatment of acute encephalocele.关键词
颅脑损伤/脑膨出/脑肿胀/颅内血肿Key words
Craniocerebral injury/Encephalocele/Brain swelling/Intracranial hematoma分类
医药卫生引用本文复制引用
罗东,林艳梅,黄履群,梁永艺..重型颅脑损伤术中急性脑膨出29例救治分析[J].中国实用神经疾病杂志,2014,(8):62-63,64,3.