脑挫裂伤脑水肿高峰后脑疝的诊治

Study of Herniation of Brain after the Pinnacle of Cerebral Edema in Contusion and Laceration of the Brain

目的:探讨脑挫裂伤脑水肿高峰后脑疝的早期诊断和治疗。方法:回顾分析9例脑挫裂伤脑水肿高峰后脑疝患者临床资料、手术与治疗效果及疗效相关因素。结果:9例患者死亡3例,重残2例,中残1例,生存良好3例。结论:脑疝发生的主要原因是颅腔内各部位的压力不平衡。脑挫裂伤脑水肿高峰后脑疝有其独特的临床特点,脑疝发生后治疗效果差。

Objective： Research the diagnosis and treatment of herniation of brain after the pinnacle of cerebral edema in contusion and laceration of the brain.Methods： Analyses retrospectively the clinical manifestation, surgery, treatment and prognosis of 9 cases of patients with herniation of brain after the pinnacle of cerebral edema in contusion and laceration of the brain. Results ： Among 9 cases of patients with the herniation of brain after the pinnacle of cerebral edema in contusion and laceration of the brain after be treated, Glasgow Outcome Scale （GOS） grade - Ⅴ 3 cases, GOS - Ⅳ 1 case, GOS - Ⅲ 2 cases, GOS - Ⅰ 3 cases. Conclusion ： The mostly reason of hemlation of brain after the pinnacle of cerebral edema in contusion and laceration of the brain is imbalance of different parts of encephailc cavity pressure.There are particular characteristics of the hemiation of brain, and the effect of treatment is disappointing after herniation of brain in these patients.