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目的对重型颅脑外伤术中出现急性脑膨出40例的诱因进行分析,并总结防治措施。方法选取医院行手术治疗的重型颅脑外伤患者40例进行研究,且术中均有急性脑膨出症状发生,在分析诱因的同时,重点总结防治措施,以改善预后。结果 40例急性脑膨出患者中,弥漫性、急性脑肿胀18例(45.00%),迟发型颅内血肿17例(42.50%),大脑缺血/缺氧5例(12.50%),均予以及时处理。随访发现,植物生存者1例(2.50%),重度残疾者5例(12.50%),中度残疾者5例(12.50%),恢复质量较好者12例(30.00%),死亡者17例(42.50%)。结论对于接受手术治疗的重型颅脑外伤患者,弥漫性、急性脑肿胀;迟发型颅内血肿或者是大脑缺血/缺氧都可能会诱发急性脑膨出,因此在治疗中,除了要对患者疾病特征深入分析外,还要制定专业防治措施,通过防止脑膨出症状出现,再加以综合处理,从而改善预后。
Objective To analyze the causes of acute encephalocele in 40 patients with severe traumatic brain injury and to summarize the prevention and treatment measures. Methods Forty patients with severe craniocerebral trauma who underwent surgical treatment in our hospital were studied, and all of them had acute encephalocele syndrome. During the analysis of inducement, the prevention and treatment measures were summarized emphatically to improve the prognosis. Results Among the 40 patients with acute encephalocele, 18 cases (45.00%) had diffuse, acute brain swelling, 17 cases (42.50%) with delayed intracranial hematoma and 5 cases (12.50%) with cerebral ischemia / hypoxia, Timely processing. Follow-up showed that there were 1 case of plant survival (2.50%), 5 cases of severe disability (12.50%), 5 cases of moderate disability (12.50%), 12 cases (30.00% (42.50%). Conclusions For patients with severe traumatic brain injury undergoing surgery, diffuse acute brain swelling, delayed intracranial hematoma, or cerebral ischemia / hypoxia may induce acute encephalocele. Therefore, in the treatment, In-depth analysis of disease characteristics, but also to develop professional prevention and treatment measures, by preventing the occurrence of bulging symptoms, combined with comprehensive treatment, thereby improving the prognosis.