脑瘤术后并发远隔部位硬膜外血肿20例报告

Postoperative distant parts of the brain of 20 cases of epidural hematoma

目的探讨脑瘤术后并发远隔部位硬膜外血肿的发生机制及其临床意义。方法本文选择20例脑瘤术后并发远隔部位硬膜外血肿患者,均经过检查确诊。对肿瘤大小、所在部位、远隔部位硬膜外血肿的大小和所在部位、发生时间进行统计。结果 5例发生远隔血肿的平均大小为30mm×50mm,左额顶部,痊愈;其中4例发生远隔血肿的平均大小为40mm×80mm,右顶枕部,死亡;其中5例发生远隔血肿的平均大小为40mm×50mm,自动出院;6例发生远隔血肿的平均大小为20mm×60mm,左顶枕部,痊愈。结合文献查阅,探讨其发生机制和临床意义,研究其可能发生的原因及手术的注意事项。结论脑瘤术后应该及时填补空腔,做好引流工作,及时地处理早期并发症。

Objective To explore the distant parts of the brain of postoperative epidural hematoma of the mechanism and its clinical significance.Methods We collected 20 cases of postoperative distant parts of the brain in patients with epidural hematoma,have been checked at diagnosis.After the tumor size,location location,distant parts of the epidural hematoma size and location of the site,time of occurrence of the statistics.Results distant hematoma occurred in 5 cases the average size of 30 mm×50 mm,the amount of the top left,recovered;including four cases of distant hematoma occurred an average size of 40 mm×80 mm,right parietal occipital,death;5 cases occurrence of distant hematoma occurs the average size of 40 mm×50 mm,automatic discharge;6 patients had distant hematoma occurred,the average size of 20 mm×60 mm,left parietal occipital,left frontal recovery.Combination of literature review,to explore its mechanism and clinical significance of its possible causes and surgical considerations.Conclusion Brain surgery to fill the cavity should be timely,good drainage work,and timely processing of early complications.