重型颅脑外伤开颅术中急性脑膨出的临床分析

Clinical analysis of acute encephalocele in patients with severe craniocerebral trauma craniotomy

目的:研究和分析重型颅脑外伤开颅术中急性脑膨出的原因以及治疗的方式。方法:收治重型颅脑外伤开颅术中急性脑膨出患者40例,进行回顾性分析。结果:迟发型颅内血肿18例,急性弥漫性脑肿胀10例,严重广泛脑挫裂伤6例,脑组织急性缺氧缺血6例。随访6个月,根据格拉斯哥预后积分(COS评分):恢复良好18例,中残10例,重残4例,死亡8例。结论:重型颅脑外伤开颅术中急性脑膨出的原因是多种多样的,结合患者的实际临床症状加以及时的治疗,对患者的生命和健康有重要的影响。

Objective:To research and analyze the causes and treatment methods of acute encephalocele in patients with severe craniocerebral trauma craniotomy.Methods:40 patients with acute encephalocele in severe craniocerebral trauma craniotomy were selected.The clinical data were analyzed retrospectively.Results:Delayed intracranial hematoma in 18 cases,acute diffuse brain swelling in 10 cases,severe extensive cerebral contusion and laceration in 6 cases,acute cerebral ischemia in 6 cases.Follow up for6 months,according to the Glasgow prognosis score(COS score)18 cases recovered well,10 cases were disabled,4 cases were severe disability,8 cases died.Conclusion:The causes of acute encephalocele in patients with severe craniocerebral trauma craniotomy are various.Combined with the actual clinical symptoms and timely treatment of patients has an important impact on the patients’ life and health.