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目的:对于重型颅脑损伤去骨瓣减压术后脑膨出的临床特点进行研究分析。方法:搜集整理了我院自2013年1月至2013年12月间收治的重型颅脑损伤去骨瓣减压术后的56例患者的临床资料进行分析研究。结果:56例重度颅脑损伤的患者在进行了去骨瓣减压的手术之后出现脑膨出的患者有41例,占患者总数的比例为73.2%,根据研究发现在手术之前受到广泛的脑挫裂伤以及弥漫性脑肿胀的患者在手术之后出现新的颅内血肿或脑挫裂伤灶扩大以及脑积水合大面积脑梗死等症状并进一步造成患者颅内出现感染是导致患者在术后发生脑膨出症状的主要原因。患者术后出现脑膨比率和其预后之间存在一定的关联性(Spearman=0.990,双侧P=0.000)。结论:重度颅脑损伤在进行了去骨瓣减压术之后发生脑膨出的比率较高,为了减少此类症状的出现要求医务人员在进行去骨瓣减压术时对各项手术指征进行严格的把关,并对术后容易出现的各类颅高压的并发症进行及时的防治。
Objective: To study the clinical features of encephalocele after decompressive craniectomy for severe traumatic brain injury. Methods: The clinical data of 56 patients who underwent decompressive craniectomy for severe traumatic brain injury admitted to our hospital from January 2013 to December 2013 were collected and analyzed. Results: In 56 patients with severe craniocerebral injury, there were 41 cases of encephalocele after decompressive surgery, accounting for 73.2% of the total number of patients. According to the study, a wide range of brain Contusion and diffuse brain swelling in patients with surgery after the emergence of new intracranial hematoma or brain contusion and enlargement of hydrocephalus and cerebral infarction and other symptoms and further cause patients with intracranial infection is caused by surgery in patients After the main cause of bulging symptoms. There was a correlation between postoperative brain swelling and its prognosis (Spearman = 0.990, bilateral P = 0.000). CONCLUSIONS: Severe craniocerebral injury has a high rate of encephalocele after decompressive craniectomy. In order to reduce the occurrence of such symptoms, medical staff are required to evaluate the various surgical indications during decompressive craniectomy Conduct strict checks, and postoperative prone to various types of intracranial hypertension complications timely prevention and treatment.