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外傷性腦水種的預防、治療及發病機制的研究,到目前說來,仍是神經外科中一个非常重要而又迫切需要解决的問題。 曾經說過:“誰掌握腦水腫預防及治療的技巧,誰就掌握著神經外科患者的生命”。根据目前觀念,腦水腫與急性血液循環障碍應該看作是中樞神經系統對引起顱腦損傷刺激物的一種複雜而合理的生物學反應。广義說來,這些損傷包括開放性、閉合性顱腦大器傷及手術損傷。 根據神經病理學的研究,外傷後局部腦組織可發生坏死、營養不良、血液循環及腦脊液循環障碍、水分代謝失調等現象。這些现象雖然亦可單獨存在。但是,它们之間是相互連系而制約的。 到目前爲止,對腦水腫、腦腫脹的問題還沒有統一的見解。有人說這二種腦水分代謝障碍是一回事,
Research on the prevention, treatment and pathogenesis of traumatic brain water syndrome is still a very important and urgent problem in neurosurgery so far. Once said: “Who master the prevention and treatment of cerebral edema skills, who hold the life of neurosurgical patients.” According to the current concept, brain edema and acute blood circulation disorders should be seen as a complex and rational biological response of the central nervous system to stimuli that cause brain injury. Broadly speaking, these injuries include open, closed head injury and surgical injury. According to the study of neuropathology, local brain tissue after trauma may have necrosis, malnutrition, blood circulation and cerebrospinal fluid circulation disorders, water metabolism disorders and so on. Although these phenomena can also exist alone. However, they are interconnected and restricted. So far, there is no unified opinion on the problems of brain edema and brain swelling. Some people say that these two brain water metabolism disorders are one thing,