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目的:探讨颅脑损伤术中急性脑膨出的原因及处理。方法:对我院自2009-2011年开颅手术中出现急性脑膨出的32例患者临床资料进行回顾性分析。结果:因急性脑肿胀引发者10例,因迟发性血肿引发者19例,因外伤性大面积脑梗塞引发者2例,其他原因1例;按GCS标准对患者愈后进行评估,其中恢复良好3例,轻残5例,中残1例,重残3例,植物生存2例,死亡18例。结论:颅脑损伤术中发生急性脑膨出的原因复杂,其中迟发性颅内血肿最常见;术中积极做出诊断,及时采取相应治疗措施可取得较好疗效,改善预后。
Objective: To investigate the causes and management of acute brain bulge during craniocerebral injury. Methods: The clinical data of 32 patients with acute encephalocele in our hospital from 2009 to 2011 during craniotomy were retrospectively analyzed. Results: 10 cases were caused by acute brain swelling, 19 cases were caused by delayed hematoma, 2 cases were caused by traumatic massive cerebral infarction, and 1 case was caused by other causes. The prognosis was evaluated according to GCS standard, 3 cases were good, 5 cases were mild disability, 1 case was middle disability, 3 cases was disability, 2 cases were plant survival and 18 cases died. CONCLUSION: The causes of acute encephalocele during craniocerebral injury are complex, of which delayed intracranial hematoma is the most common. Diagnosis can be made actively during the operation, and appropriate treatment can be obtained timely to improve the prognosis.