脑出血后继发脑水肿患者外科治疗的研究进展

Research progress of surgical treatment for patients with cerebral edema after cerebral hemorrhage

脑出血占脑卒中的10%~15%,具有高致死率与致残率。脑出血后血肿的形成一方面会压迫和破坏脑组织造成原发性脑损伤,另一方面会引发一系列继发性损伤如脑水肿等。脑出血后继发脑水肿是导致不良预后的关键因素,治疗方式包括药物治疗、手术治疗等,其中外科手术能清除血肿、改善脑水肿及继发性损伤,是目前重要的治疗手段之一,但关于手术方式、时机及疗效等方面仍无统一的结论。现就脑出血后继发脑水肿的外科治疗研究现状进行综述,以期为脑出血后继发脑水肿的手术治疗提供依据。

Cerebral hemorrhage accounts for 10%-15%of all stroke,which has high mortality and disability rate.On the one hand,the formation of hematoma after cerebral hemorrhage will compress and destroy brain tissues to cause primary brain injury.On the other hand,it will lead to a series of secondary injuries such as cerebral edema.Secondary cerebral edema after cerebral hemorrhage is an important factor for poor prognosis.The treatment methods for cerebral edema after cerebral hemorrhage include drug therapy and surgical treatment.Surgery can remove hematoma,improve cerebral edema and secondary injury,which is one of important treatment methods.However,there is still no unified conclusion on the surgical methods,timing and efficacy.This article summarizes the current status of surgical treatment for cerebral edema after cerebral hemorrhage in order to provide basis for surgical treatment.