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目的探讨急性重型颅脑损伤术中脑膨出临床疗效。方法采用回顾性分析的方法,分析通辽市科尔沁区第一人民医院收治的急性重型颅脑损伤术中脑膨出患者临床资料,根据脑膨出发生原因,采取相应的治疗方法。结果脑膨出原因:迟发型颅内血肿30例,弥漫性脑肿胀20例,脑缺血、缺氧10例,术后恢复良好33例、中残17例、重残6例、植物状态3例、死亡1例。结论及时并且正确的处理方法是急性重型颅脑损伤术中脑膨出的治疗关键,临床效果明显,预后较好,值得临床借鉴应用。
Objective To investigate the clinical effect of intraoperative encephalocele in acute severe craniocerebral injury. Methods The retrospective analysis was used to analyze the clinical data of intracerebral encephalocele in patients with acute severe craniocerebral trauma admitted to the First People ’s Hospital of Horqin District, Tongliao City. According to the causes of encephalocele, corresponding treatment was taken. Results The causes of encephalocele were 30 cases of delayed type intracranial hematoma, 20 cases of diffuse brain swelling, 10 cases of cerebral ischemia and hypoxia, 33 cases of postoperative recovery, 17 cases of moderate disability, 6 cases of severe disability, 3 cases of plant state Case, 1 patient died. Conclusions A timely and correct treatment is the key to the treatment of encephalocele in acute severe craniocerebral injury. The clinical effect is obvious and the prognosis is good. It is worthy of clinical reference.