外伤性脑水肿的治疗

Therapy 0f traumatic cerebral edema

本文介绍了31例重型颅脑损伤继发脑水肿治疗体会,病例年龄6～59岁,致伤因素,损伤类型多样,病情轻重在格拉斯哥昏迷分级10分以下,都在早期出现脑水肿;说明脑水肿是颅脑损伤的重要病变,应予以重视。笔者复习文献和结合实践经验,着重提出几点治疗脑水肿的意见,并指出综合治疗,处理病因是关键性措施。

Here is a little therapeutic experience about 31 cases of critical cerebral injury with secondary cerebral edema from 6 to 59 yrs. old. There were different injured types. According to Glassgow's standard, all of patients, their coma all were under 10 cent, and all occurred early-term cerebral edema. So, cerebral edema was an important pathological change and we paid attention toit especially, think I. Its therapeutic crux is that the cause of disease must be resolved and a complex therapy should be performed. Above is a little point of view and experience what I have summarized in clinical practising.