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重型颅脑损伤术中低血压发生率达32%,一旦发生,其死亡率达82%。部分病例低血压难以迅速纠正,持续时间可达数小时,较少有人报道。2007年8月至2014年3月本院治疗这种重型颅脑损伤术中顽固性低血压25例,报告如下。1资料与方法1.1临床资料本组患者男18例,女7例;年龄19~85岁,中位数35岁;主要损伤情况:硬膜外血肿为主3例,硬膜下血肿为主10例,脑挫伤及脑内血肿为主7例,弥漫性脑肿胀为主5例;单侧开颅减压17例,双侧开颅减压8例;术中失血
Severe craniocerebral injury occurred during the rate of hypotension 32%, in the event of death rate of 82%. In some cases, it is difficult to quickly correct the hypotension, which lasts for several hours and is rarely reported. From August 2007 to March 2014, 25 cases of intractable hypotension during severe intracranial injury in our hospital were treated as follows. 1 Materials and Methods 1.1 Clinical data The group of 18 males and 7 females, aged 19 to 85 years old, the median 35 years old; the main injury: epidural hematoma-based 3 cases of subdural hematoma-based 10 Cases, cerebral contusion and intracerebral hematoma mainly in 7 cases, diffuse brain swelling in 5 cases; unilateral craniotomy decompression in 17 cases, bilateral craniotomy decompression in 8 cases; intraoperative blood loss