颅内肿瘤术后早期颅内高压再手术16例临床分析

Early re-operation on patients with intracranial tumors for intracranial hypertension following initial operation： analysis of 16 cases

目的总结颅内肿瘤术后早期颅内高压的原因及再手术方法。方法对16例颅内肿瘤术后早期颅内高压再手术资料进行临床分析。结果颅内肿瘤术后颅内高压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瘤切除术后48～72h，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内高压最重要的表现。结论颅内肿瘤术后早期应密切观察病情变化，必要时进行影像学检查，及时发现并处理颅内血肿或严重的脑水肿。

Objective To summarize the causes and re-surgical methods of early intraeranial hypertension induced by operation in meningeal neoplasms. Methods Analysize the re-surgical materials about the early intracranial hypertension induced by operation in meningeal neoplasms of 16 cases. Results The formation of hematoma or the appearance of tension injury after the surgery of meningeal neoplasms was related to the location and quality of the tumor. The reasons for these were as follows. The tension injury often happens in 48 - 72h after surgery. The time needed by the operation of hematoma is changeable. The decreasing level of consciousness was the major expression of intraeranial hypertension after surgery. Conclusion Watch the conditions of meningeal neoplasms after operation. Do the image examination if needed. So it is easy the final and deal with the hematoma or the cerebral edema.