摘要
目的探讨开颅术中急性脑膨出的形成原因及治疗措施。方法对62例颅脑外伤开颅术中出现脑膨出的临床资料进行回顾分析。结果按GOS标准,恢复良好20例,中残3例,重残2例,植物生存4例,死亡33例。结论开颅术中急性脑膨出发生的主要原因为迟发性颅内血肿和急性脑肿胀,术中准确判断发生原因并作出相应的处理是提高救治成功率的关键。
Objective To investigate the causes and the treatment of acute encephalocele during craniocerebral operation.Methods The clinical data of 62 patients in our department who had acute encephalocele during their craniocerebral operation were reviewed and analyzed.Results The outcomes were evaluated according to the Glasgow Outcome Scale(GOS)(good recovery 20,moderately disabled 3,severely disabled 2,regetative 4,dead 33).Conclusion Delayed intracranial hematomas,acute cerebral swelling were the main causes of acute encephalocele,and correct judgement of the causes and corresponding way to be handled were the keypoint to raise the succesful rate.
出处
《青岛医药卫生》
2009年第5期326-328,共3页
Qingdao Medical Journal
关键词
脑膨出
颅内血肿
脑肿胀
开颅手术
Encephalocele
Intracranial hematomas
Cerebral swelling
Craniocerebral operation