摘要
目的分析重型脑外伤患者行开颅手术中发生急性脑膨出的诊断与治疗。方法统计分析我院2012年1月~2015年9月收治的重型脑外伤行开颅手术发生急性脑膨出患者80例的临床资料。结果对所有患者进行半年的随访,80例患者中,12例患者恢复良好,28例患者中度残疾,18例患者重度残疾,22例患者死亡,恢复良好率、残疾率、死亡率分别为15.0%（12/80）、57.5%（46/80）、27.5%（22/80）。结论临床应对重型脑外伤患者行开颅手术中发生急性脑膨出的现象有一个清晰的认识,对其进行积极预防,从而将其发生率降低到最低限度。同时,尽早做出诊断和治疗,从而促进患者预后的显著改善和生活质量的极大提升。
Objective To analyze the diagnosis and treatment of acute brain swelling in craniotomy of patients with severe brain trauma. Methods The clinical data of 80 patients with acute encephalocele who underwent craniotomy in our hospital from January 2012 to September 2015 were analyzed statistically. Results All patients were followed up for six months, among the 80 cases of patients, 12 cases of patients recovered well, 28 cases of patients were with moderate disability, 18 cases of patients were with severe disability, 22 cases of patients died, the good recovery rate, disability, mortality were 15.0%（12/80）, 57.5%（46/80）, 27.5%（22/80）, respectively. Conclusion The clinical should have a clear understanding of the phenomenon of acute brain swelling in craniotomy of patients with severe brain trauma, prevent it actively, thereby reduce its incidence to the minimum. At the same time, make diagnosis and treatment as soon as possible, thus significantly improve the prognosis and greatly enhance the quality of life of the patients.
出处
《中国继续医学教育》
2016年第33期109-110,共2页
China Continuing Medical Education
关键词
重型脑外伤
开颅手术
急性脑膨出
诊断
治疗
Severe brain trauma
Craniotomy
Acute brain swelling
Diagnosis
Treatment
