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目的:探讨脑内肿瘤切除术中急性脑膨出的形成原因及防治措施。方法:通过对10例脑内肿瘤切除术中急性脑膨出病人资料进行回顾分析,探讨使其形成的原因和防治方法。结果:10例患者脑内肿瘤切除术中急性脑膨出原因:7例颅内血肿、1例脑挫严重裂伤上脑水肿、1例呼吸道通气不畅、1例下视丘损伤引起弥漫性脑肿胀。结论:脑内肿瘤切除术中急性脑膨出主要形成原因为颅内血肿、脑挫裂伤、呼吸道通气不畅和下视丘损伤;预防脑内肿瘤切除术中急性脑膨出关键在于防止颅内压骤然改变,使颅内压梯度相对稳定。彻底清除颅内血肿,保持呼吸道顺畅,过度换气,使用脱水剂,是治疗急性脑膨出的有效方法。
Objective: To investigate the causes and preventive measures of acute brain bulge in intracranial tumor resection. Methods: The data of 10 patients with acute encephalocele during resection of intracerebral hemorrhage were retrospectively analyzed to explore the causes and prevention methods. Results: The causes of acute encephalocele during intracranial tumor resection in 10 patients were as follows: 7 cases of intracranial hematoma, 1 case of cerebral edema with severe cerebral contusion, 1 case of poor ventilation of the respiratory tract and 1 case of diffuse inferior hypothalamic injury Brain swelling. Conclusions: The main causes of acute encephalocele during intracranial tumor resection are intracranial hematoma, cerebral contusion and laceration, poor respiratory ventilation and inferior hypothalamic injury. The key to prevent acute encephalocele during intracranial tumor resection is to prevent craniocerebral Sudden changes in internal pressure so that the gradient of intracranial pressure is relatively stable. Complete removal of intracranial hematoma, to maintain airway smooth, hyperventilation, the use of dehydration agent, is an effective method of treatment of acute encephalocele.