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目的探讨外伤性气颅的临床特点、发病机制及治疗经验。方法对盐城市第二人民医院2001年8月—2009年9月收治的40例外伤性气颅患者的临床症状、CT影像特点,处理方法及预后进行回顾性分析。结果治愈38例,死亡2例(1例死于合并脑干损伤者,1例死于严重颅内感染)。结论脑外伤或者颅脑术后顽固性头痛、呕吐、意识障碍、偏瘫等,当原发病无法解释的时候,要高度警惕气颅的发生,头部CT可协助诊断。遇张力性气颅者,紧急钻孔排气治疗是最有效的方法之一。
Objective To investigate the clinical features, pathogenesis and treatment experience of traumatic cranial skull. Methods The clinical features, CT features, treatment and prognosis of 40 traumatic patients with traumatic cranial head admitted to Yancheng Second People’s Hospital from August 2001 to September 2009 were analyzed retrospectively. Results 38 cases were cured, 2 died (1 died of brain stem injury and 1 died of severe intracranial infection). Conclusions Brain trauma or intracranial brain stubborn headache, vomiting, disturbance of consciousness, hemiplegia, etc., when the original disease can not be explained, to be highly vigilant of the occurrence of gas cranial head CT can help diagnose. In case of tension of the craniotomy, emergency drilling exhaust treatment is one of the most effective.