老年颅内脑膜瘤患者手术后死亡原因分析

The analysis of the causes of postoperative deaths in intracranial meningiomas in the elderly department of neurosurgery

目的了解老年颅内脑膜瘤的手术后的死亡原因，进一步提高治疗水平。方法对１６年间１８例术后死亡的老年颅内脑膜瘤患者的临床资料进行回顾性分析。结果手术死亡原因为术后脑梗塞脑水肿７例，心肌梗塞３例，肾功能衰竭２例，术前脑疝２例，吸入性肺炎、术后脑内血肿、下视丘损伤和呼吸衰竭各１例。

Objective Analysis the postoperative death reason of elderly patients with meningioma.Method We analysised the death reason of 18 elderly patients with meningioma who died after operation in recent 16 years, Reviewing of document is also included in this review study. Result 7 patients died of postoperative cerebral infarction (3 cases sufferd heamorrage of gastric instinal tract). 3 cases died of cardiac infarction. 2 cases renal failure and 2 cases preoperative cerebral hernia. 1 case inhalant pneumonia, 1 case postoperative cerebral hematoma, 1 case hypothamamus injury and 1 case respiration failure. Conclusion Operation is not prompt to patients whose KS scale is less than 50.