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弥漫性血管内凝血(DIC),多由严重感染,休克等疾病诱发,而因颅脑损伤或开颅术后并发 DIC 者较少见。为进一步认识这一特殊现象在神经外科的发生,提高神经外科疾病的手术治愈率,现将我院发生的3例,并参考有关文献,就开颅术后诱发 DIC 的发病机理,临床特点及治疗作一分析报导。例1:患者女,56岁,因头痛,一侧肢体偏瘫1月,CT 扫描诊断为右侧顶部肿瘤于1990年4月28日入院。检查:营养差,消瘦,体重47.5公斤,神志清,左侧肢体偏瘫。CT
Diffuse intravascular coagulation (DIC), mostly caused by severe infections, shock and other diseases, and due to craniocerebral injury or craniotomy complicated by DIC are rare. In order to further understand this special phenomenon in neurosurgery, improve surgical cure rate of neurosurgical diseases, now our hospital occurred in 3 cases, and with reference to the literature on the pathogenesis of DIC induced by craniotomy, clinical features and Treatment for an analysis report. Example 1: Female patient, 56 years old, with headache, hemiplegia due to one limb on January, CT scan diagnosed as right top tumor on April 28, 1990. Check: poor nutrition, weight loss, weight 47.5 kg, clear consciousness, left limb hemiplegia. CT