摘要
目的:探讨颅脑外伤患者开颅术中脑膨出的发病原因和治疗措施。方法:回顾65例脑外伤开颅术中出现脑膨出的患者的资料,进行总结。结果:术后3个月GCS评分,良好15例,中度残疾17例,重度残疾20例,植物生存5例,死亡8例。结论:重度颅脑损伤开颅术中急性脑膨出病因常见的为弥漫性脑肿胀、继发性颅内血肿等,只要术前结合临床和CT正确判断、采取相应措施、及时手术减压,就可以很大程度降低致死率、致残率。
Objective:To explore the causes and treatment of traumatic brain injury patients craniotomy in encephalocele.Methods: Retrospective data of 65 cases of patients with brain swelling brain trauma craniotomy that appear in summary.Results:After 3 months,GCS score good in 15 cases,moderate disability in 17 cases,20 cases of severe disability,persistent vegetative five cases,8 deaths.Conclusion:Severe head injury craniotomy common cause of acute encephalocele is diffuse brain swelling,intracranial hematoma secondary,as long as the preoperative clinical and CT correct judgment,take appropriate measures to promptly surgical decompression,can reduced a large extent mortality and morbidity.
关键词
重型颅脑损伤
脑膨出
发病原因
治疗经验
Severe traumatic brain injury
Encephalocele
Eiology
Treatment experience
