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目的探讨颅脑损伤开颅术中发生急性脑膨出的原因和治疗方法。方法回顾性分析21例颅脑损伤患者开颅术中脑膨出形成的原因及相应的治疗措施。结果21例中死亡10例,植物生存1例,重残3例,中残5例,恢复良好2例。结论迟发性颅内血肿、急性弥漫性脑肿胀、广泛脑挫裂伤是急性颅脑损伤开颅术中发生急性脑膨出的主要原因,术中针对不同的原因采取相应措施可获得良好疗效。
Objective To investigate the causes and treatment of acute cerebral edema in craniocerebral injury craniotomy. Methods Retrospective analysis of 21 cases of craniocerebral injury in patients with craniocerebral encephalocele formation and the corresponding treatment. Results Of 21 cases, 10 were dead, 1 was plant, 3 were severely disabled, 5 were moderate disability, and 2 were recovered well. Conclusions Delayed intracranial hematoma, acute diffuse brain swelling and extensive cerebral contusion and laceration are the main causes of acute encephalocele during craniotomy of acute craniocerebral injury. In the course of operation, appropriate measures can be taken for different reasons to obtain good curative effect .