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目的对100例颅内肿瘤手术患者临床表现进行回顾性分析,阐述个别生理指标的临床分析价值,以期进一步提高手术方式的疗效。方法随机选择两年来院内接受颅内肿瘤手术患者100例,采用手术前CT或MRI检查,进行明确诊断,全部病人均采用快速诱导气管内插管静脉复合麻醉。结果本组患者行肿瘤全切除71例,大部切除22例,部分切除7例。经过综合治疗护理,术后恢复良好者91例,伤残5例,死亡4例,其中住院期间死亡为2例。结论在打开颅骨前和拔管前后ICP增高最明显,此时应警惕急性脑膨出的发生,明确的诊断以及积极的护理对于颅内肿瘤手术患者的早日康复具有重大意义。
Objective To retrospectively analyze the clinical manifestations of 100 patients with intracranial tumors and to describe the clinical value of some physiological indexes in order to further improve the efficacy of surgical methods. Methods A total of 100 cases of intracranial tumors undergoing surgery in the hospital during the past two years were randomly selected. CT or MRI was performed before surgery to confirm the diagnosis. All patients underwent rapid intravenous anesthesia induction of endotracheal intubation. Results Totally 71 patients underwent resection of the tumor in this group, with 22 patients partially resected and 7 patients partially resected. After comprehensive treatment and care, postoperative recovery was good in 91 cases, 5 cases of disability, 4 died, of which 2 were hospitalized during the death. Conclusions Before and after opening the skull and extubation, the most obvious ICP increase should be wary of the occurrence of acute encephalocele. A clear diagnosis and positive nursing care are of great significance to the early recovery of patients with intracranial tumors.