颅内肿瘤术后早期颅高压再手术32例临床分析

Early re-operation on patients with intracranial tumors for intracranial hypertension following initial operation:analysis of 32 cases

报告了３２例颅内肿瘤术后早期再手术的病例。颅内肿瘤术后血肿形成或脑牵拉伤的发生与肿瘤的部位及性质密切相关。因牵拉伤再手术多发生于肿后切除术后４８─７２ｈ，而因血肿形成再手术的时间变化较大。意识水平下降是术后颅高压最重要的表现。对术后颅内血肿和脑牵拉伤形成的原因，手术指征，手术方法及预后进行讨论。

patients with intracranial tumors were reported.After retnoval of tumors 15 of them present-ed intracranial hematoma,the others severe brain retraction injury,Intracranial hematoma and brain retrac-tion injury were closely correlated with the type and location of the tumors.Re-operation on patients withbrain retraction injury was often performed between 48-72h following the initial operation,and for in-tracranial hematomas it was usually done within the first week.Progressive deterioration of consciousnesswas the cardinal symptom of intracranial hypertension,In this article,the causes of intracranial hematomaand brain retraction injury,the indications of re-operation,and the prognosis were also discussed.