摘要
目的探讨急性弥漫性脑肿胀患者开颅减压术中发生脑膨出的防治措施。 方法回顾近 5年 38例因弥漫性脑肿胀行开颅减压出现脑膨出的患者资料 ,对其防治措施进行总结。 结果 11例患者治疗效果满意 ,仅 7例死亡 ,死亡率 19%。 结论应用双侧扩大翼点入路开颅减压术、异丙酚麻醉镇静、亚低温、过度换气等综合措施 ,可使弥漫性脑肿胀术中脑膨出患者获得较好预后。
Objective To summarize the prophylactic and therapeutic methods of encephalocele formation in diffuse brain swelling patients during craniectomy. Methods 38 head injuries with encephlocele formation were analyzed retrospectively, and the preventive and treating metho ds were summarized. Results 7 patients (19%) died and 11 patients (29%) had good recovery or moderate disability. Conclusion The prognosis of most head injury patients with introperative encephlocele formation possibility could be improved by bilateral wide decompression craniectomies together with propofol anesthesia, mild hypothermia, and hyperventilation.
出处
《上海第二医科大学学报》
CSCD
2001年第5期465-466,共2页
Acta Universitatis Medicinalis Secondae Shanghai
