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目的:探讨颅脑外伤手术中急性脑膨出发生的原因,并提出相应对策,为颅脑外伤术的临床治疗提供理论依据。方法:本研究选取了2004年3月至2014年3月我院收治的71例颅脑损伤术中发生脑膨出的患者作为研究对象,对患者的临床治疗资料进行回顾性分析,总结颅脑外伤术中发生脑膨出的原因。结果:本研究中颅脑外伤患者术中发生急性脑膨出的原因包括:急性脑肿胀(18例);长时间脑组织缺血缺氧(10例);脑疝、血肿压迫(15例);迟发性颅内血肿(28例)。结论:全面仔细分析不同病因,采取相应治疗措施彻底清除患者颅内血肿,充分降低患者颅内压并控制其血压,改善患者的脑部的血液循环等是治疗颅脑外伤并避免发生急性脑膨出的有效措施。
Objective: To explore the causes of acute encephalocele during craniocerebral trauma surgery and to put forward corresponding countermeasures to provide a theoretical basis for the clinical treatment of traumatic brain injury. Methods: This study selected 71 patients with brain encephalocele during craniocerebral injury admitted to our hospital from March 2004 to March 2014 as the research object, retrospectively analyzed the clinical data of patients and summarized the brain Causes of brain bulge in traumatic surgery. Results: In our study, acute intracerebral edema caused by traumatic brain injury in our study included acute brain swelling (18 cases), prolonged cerebral ischemia and hypoxia (10 cases), cerebral hernia and hematoma (15 cases) ; Delayed intracranial hematoma (28 cases). CONCLUSIONS: Comprehensive and careful analysis of different etiology, taking appropriate treatment measures to completely remove intracranial hematoma, to reduce intracranial pressure and to control blood pressure, to improve blood circulation in patients is to treat traumatic brain injury and avoid acute cerebral edema Out of the effective measures.