迟发性颅内血肿致术中急性脑膨出的治疗

Therapy of acute encephalocele during operation in patients with delayed intracranial hematomas

目的探讨颅脑损伤术中因迟发性颅内血肿致急性脑膨出的治疗经验。方法将颅脑损伤术中因迟发性颅内血肿致急性脑膨出的25例病人进行回顾性分析,总结其防治措施的疗效。结果康复良好11例,中度残废4例,重度残废3例,植物状态生存1例,死亡6例。结论彻底清除颅内血肿、大骨瓣去除充分减压及降低颅内压等是治疗术中急性脑膨出的有效措施。迟发性颅内血肿只要处理及时预后较好。

Objective To explore the therapy measures of acute encephalocele during operation in patients with delayed intracranial hematomas after brain injury.Methods Retrospective analysis of 25 patients with acute encephalocele due to delayed intracranial hematoma after brain injury.Results Good recovery occurred in 11 patients,moderate disability in 4 patients,severe disability in 3 patients,persistent vegetative state in 1 patient,and death in 6 patients.Conclusions It is useful to take measures such as complete clearance of hematoma and adequate reduction of intracranial pressure for treating acute encephalocele,which will improve the clinical effects.