特重型颅脑损伤患者术中急性脑膨出的预防方法探讨

Exploration on methods of prevention in patients with severe head injury patients with acute encephalocele

目的：总结特重型颅脑损伤患者急性脑膨出的预防方法。方法：通过回顾性分析25例特重型颅脑损伤患者术中急性脑膨出的防治经验，总结特重型颅脑损伤患者急性脑膨出的预防方法。结果：术后复查CT，血肿基本清除17例，血肿仍大片存在5例，脑挫裂伤加重3例，继发远隔部位硬膜外血肿1例。出院时GOS评定：良好2例，中残3例，重残3例，植物生存7例，死亡10例，死亡率40％。结论：采用“早减压”、“分步减压”的方法，可以较好的降低急性脑膨出发生率，提高特重型颅脑损伤患者的抢救成功率。

Objective：To summarize the severe head injury in patients with acute encephalocele prevention methods .Methods：25 se-vere head injury patients with acute encephalocele were taken as objects to summarize the prevention methods of acute encephalocele .Re-sults：CT indicated that hematoma of 17 cases were basically cleared , five cases were large presence of hematoma .GOS assessment showed that two cases were good , 3 cases was residue , 3 cases were severe disability , 7 cases were plant survival , and 10 cases were deaths .The mortality rate was 40%.Conclusion：The use of ＆quot;early decompression＆quot;,＆quot;step decompression＆quot;method that could better reduce the inci-dence of acute brain swelling and improve the success rate of severe head injury patients .