摘要
目的了解脑创伤后不同时间窗内脑水肿和肿胀的发展过程及与预后的关系。方法结合52例经CT和手术证实有脑水肿的脑外伤患者影像资料和术中所见，对其预后情况进行分析。结果脑水肿较轻者，预后相对较好，11例恶性脑膨胀者，10例死亡，1例植物生存。结论脑创伤后出现水肿－脑压高－脑缺血、缺氧－脑水肿的恶性循环而使脑水肿－脑肿胀－恶性脑膨胀，病情进行性恶化，应采取有效手段阻止颅内压进行性增高。
Objective To understand cerebral edema and development procedure of different time windows. Methods To analyze their prognosis through image document and operation findings of 52 cerebral trauma patients which were confirmed cerebral edema by CT and operation. Results he light cerebral oedema patients have a better prognosis,10 patients died and 1 patient became a plant man in 11 malignant brain dilatation patients. Conclusion The infernal circle of high brain pressure-cerebral ischemia, cerebral anoxia-cerebral edema result in cerebral edema-brain dilatation-malignant brain dilatation after cerebral trauma which leads to unremitting aggravated pathogenetic condition. So effective means should be used to interrupt the unremitting heightening ICP.
出处
《中国基层医药》
CAS
2012年第14期2114-2115,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
脑损伤
脑水肿
Cerebral trauma
Cerebral edema
