中央型脑疝的临床特点及诊治(附32例分析)

Diagnosis and treatment of central brain herniation and its clinical feature(report of 32 cases)

目的探讨中央型脑疝的临床特点及诊治方法。方法对2008年1月～2010年12月我们救治的32例中央型脑疝患者临床资料进行回顾性分析。结果按GOS判断预后,其中恢复良好12例,中残13例,重残2例,植物生存2例,死亡3例。结论中央型脑疝不仅仅见于重型颅脑损伤,还可见于其他双侧幕上病变。重视中央型脑疝间脑期临床表现及影像学特征性表现,及早开颅减压,可提高治疗效果。

Objective To explore the clinical characteristics,diagnosis and treatment of central brain herniation.Method The clinical data of 32 patients with central brain herniation,who were treated from January,2008 to December,2010,were analyzed retrospectively.Result Acording to GOS,of 32 patients,12 were recovered well,13 moderately disabled,2 severely disabled,2 vegetatively suvived and 3 died.Conclusions Central brain herniation may occur not only in the patients with severe craniocerebral injury,but also in the patients with the other bilateral suprtentorial lesions.Based on early clinical manifestations of the central brain herniation combined with its imaging features,timely craniotomy can improve the curative effect on patients with brain central herniation.