颅内肿瘤术后出血非计划二次手术的研究进展

Research progress of unplanned secondary surgery for hemorrhage after intracranial tumor operation

颅内肿瘤术后进行性出血,导致颅内压增高,因其高发且有高致死率,需急诊行血肿清除术、去骨瓣减压术或脑室外引流等非计划二次手术进行抢救,不仅增加治疗难度、致残率和病死率,还增加医疗费用,因此总结其原因、积累经验教训,早期发现患者的病情变化并及时进行干预,有助于减少再手术发生率。凝血功能异常、高龄、急诊手术、KPS评分、手术时间等被认为是导致颅内肿瘤术后进行性出血较强的危险因素,本文就颅内肿瘤术后进行性出血非计划二次手术研究进展作一综述。

Progressive hemorrhage after intracranial tumor surgery can increase intracranial pressure. Because of its high fatality rate, emergency unplanned secondary surgery such as evacuation of hematoma, decompressive craniectomy, external ventricular drain. age should be done. These treatments not only enhance difficulty, disability and mortality, but also increase medical expenses;these problems always cause a medical dispute. Early detection of patients' disease changes and timely intervention helps reduce the reopera. tion rate. Main risk factors for progressive hemorrhage after intracranial tumor surgery include abnormal coagulation function, advanced age, emergency surgery, KPS score, operation time, etc. This paper summarized the treatment for progressive hemorrhage after intracrani. al tumor surgery and unplanned secondary surgery.