摘要
目的 探讨颅脑损伤开颅术中急性脑膨出的相关危险因素.方法 对190例颅脑伤开颅术中出现急性脑膨出患者（研究组）与同期506例（对照组）术中未发生急性脑膨出患者的临床资料进行调查分析.结果 手术远隔部位颅骨骨折、手术远隔部位出血（硬膜外血肿）、术前脑疝、弥漫性脑肿胀、术前缺氧、脑干伤、受伤至手术的时间与术中急性脑膨出的发生密切相关（P＜0.05）.结论 积极纠正缺氧,减轻脑干伤及其继发性损害,预防手术远隔部位出血可以有效降低开颅术中急性脑膨出.
Objective To explore the risk factors of acute intraoperative encephalocele in craniotomy of brain injury patients.Methods Gender,age,history of hypertension,hypotension,hypoxemia,primary brainstem injury,cerebral hernia,brain edema,time from injury to surgery,skull surgery distant sites fractur and bleeding situation were recorded and analyzed in 190 patients with acute intraoperative encephalocele and 506 patients without encephalocele.Results Distant sites fractured and bleeding,brain edema,cerebral hernia,hypoxemia,primary brainstem injury,time from injury to surgery,were closely related to the acute intraoperative encephalocele（P ＜ 0.05）.Conclusions Skull surgery distant sites fracture,hypoxemia,primary brainstem injury,cerebral hernia,brain edema,and surgery distant sites bleeding situation （epidural hematoma） are the risk factors for the acute intraoperative encephalocele,that the time from injury to surgery is a protective factor.Actively correct hypoxia,primary brainstem injury and prevent secondary damage,prevention of distant sites bleeding situation can effectively reduce intraoperative encephalocele.
出处
《中华神经外科杂志》
CSCD
北大核心
2014年第11期1141-1144,共4页
Chinese Journal of Neurosurgery
关键词
颅脑损伤
神经外科手术
脑膨出
危险因素
Traumatic brain injury
Neurosurgical procedures
Encephalocele
Risk factors
