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目的:研究探讨重型颅脑损伤患者急性脑膨出的临床特点与预防。方法:选取该院2013年3月至2014年10月收治的重型颅脑损伤患者60例,回顾性分析患者的基本资料、临床特征、治疗方法及预后效果等,并据此分析其预防方法。结果:观察组患者和对照组患者的预后良好率分别为76.7%、40.0%,死亡率分别为10.0%和40.0%(P<0.05)。结论:重型颅脑损伤手术过程中发生急性膨出的患者多因迟发性/弥漫性颅内血肿脑肿或大面积脑梗死的发生、术中低氧血症所致,要求对术中脑膨出风险的有效判断,积极应对,降低急性脑膨出的发生率,改善患者的预后。
Objective: To study the clinical characteristics and prevention of acute brain bulge in patients with severe craniocerebral injury. Methods: Sixty patients with severe craniocerebral injury admitted from March 2013 to October 2014 in our hospital were selected. The basic data, clinical features, treatment and prognosis of the patients were retrospectively analyzed. The preventive methods were analyzed accordingly. Results: The good prognosis of patients in observation group and control group were 76.7% and 40.0%, respectively, the mortality rates were 10.0% and 40.0% respectively (P <0.05). Conclusion: Patients with acute bulging during severe craniocerebral injury are mostly due to the occurrence of delayed or diffuse intracranial hematoma or large-area cerebral infarction, intraoperative hypoxemia, Expansion of the effective risk judgments, and actively respond to reduce the incidence of acute encephalocele and improve patient prognosis.