摘要
目的：探讨创伤后急性弥漫性脑肿胀的手术策略. 方法：对创伤后急性弥漫性脑肿胀患者手术治疗48例进行回顾性分析. 结果：本组48例中存活35例,全部病例随访0.5-3年,根据格拉斯哥预后评分（ Glasgow Outcome Scale, GOS）评估,良好10例、中度残疾13例、重度残疾8例、植物生存4例、死亡13例,死亡原因主要为术中急性脑膨出,中枢性呼吸衰竭,应激性消化道出血、多器官功能衰竭. 结论：创伤后急性弥漫性脑肿胀手术策略的决策至关重要,如此才能在最短的时间内得到最佳的治疗效果.
Objective：To discuss the operation strategy of posttraumatic acute diffuse brain swelling .Method：The surgical treatments of 48 ca-ses of posttraumatic acute diffuse brain swelling patients were analyzed retrospectively .Result：Among the 48 cases, 35 cases survived and were fol-lowed up for 0.5-3 years.Based on Glasgow Outcome Scale （GOS）, there were 10 cases of being good, 13 cases of moderate disability, 8 cases of severe disability, 4 cases of plant survival and 13 cases of death.The main causes of death were intraoperative acute encephalocele, central re-spiratory failure, stress gastrointestinal bleeding and multiple organ failure.Conclusion：Posttraumatic acute diffuse brain swelling surgical strategy decision is crucial to get the best therapeutic effect in the shortest time .
出处
《包头医学院学报》
CAS
2016年第1期24-25,共2页
Journal of Baotou Medical College
关键词
创伤
弥漫性脑肿胀
手术
Trauma
Diffuse brain swelling
Operation
