急性弥漫性脑肿胀开颅术中脑膨出的防治

Treatment of Encephalocele During Craniectomy with Acute Diffuse Brain Sweling

目的探讨急性弥漫性脑肿胀患者开颅术中发生脑膨出的防治措施。方法回顾近3年76例因急性弥漫性脑肿胀行开颅减压出现脑膨出的患者资料,对其防治措施进行总结。结果30例患者治疗效果满意,死亡13例,死亡率17%。结论应用双侧扩大翼点入路开颅减压术,术中控制性低血压、亚低温、过度换气等综合措施,可使急性弥漫性脑肿胀术中脑膨出患者获得较好预后。

Objective To summarize the prophylactic and therapeutic methods of encephalocele for- mation in diffuse brain swelling patients during craniectomy.Methods 76 head injuries with encephlocele- formation were analyzed retrospectively and the preventive and treating metho-ds were summarized.Results 13 patients(17 %)died and 30 patients had good recovery or moderate disability.Conclusion The prog- nosis of most head imjury patients with introperative encephlocele formation possibility could be improved by bilateral wide decompression craniectomies tngether with Control-lower-blood pressure,mild hy- pothermia,and hypervenilation.