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目的探讨颅脑外伤手术中急性脑膨出的原因及防治方法。方法回顾分析术中出现急性脑膨出患者23例及其相关临床资料。结果术中继发颅内血肿形成,外伤致血管调节功能障碍,脑外伤后多种血管活性物质的释放,长时间脑疝后脑组织缺氧等是颅脑损伤中脑膨出的主要原因。结论对各种原因所致术中急性脑膨出及时采取综合治疗措施可取得较好疗效。
Objective To explore the causes and prevention and treatment of acute encephalocele during craniocerebral trauma surgery. Methods Retrospective analysis of 23 patients with acute encephalocele and its clinical data. Results The intracranial hematoma secondary to intracranial hematoma, dysfunction of vascular regulation caused by trauma, release of multiple vasoactive substances after traumatic brain injury and hypoxia after prolonged cerebral hernia were the main causes of brain bulging in brain injury. Conclusion Acute encephalocele due to various reasons due to timely and comprehensive treatment measures can achieve better results.