【摘要】 目的探讨腰大池置管持续外引流联合物理降温治疗颅脑损伤术后脑膨出的效果。方法采用腰大池置管持续外引流联合物理降温治疗颅脑损伤术后脑膨出62例,其中单侧开颅50例,双侧开颅12例。结果 10~15 d后,脑膨出复位26例(41.9%),张力不高36例(58.1%)。6个月后应用GOS评定:良好16例(25.8%);轻残、生活基本能自理30例(48.4%);植物生存及重残6例(9.7%);死亡10例(16.1%),其中死于继发性脑干损伤及重型脑挫裂伤6例,合并肺部感染1例,上消化道大出血1例,全身衰竭2例。结论该治疗方法可有效降低颅内压,缓解脑膨出,降低病死率及伤残率,是治疗颅脑损伤术后早期脑膨出的有效措施。更多还原

【Abstract】 Objective To study the effect of continuous lumbar cistern tube drainage combined with physical cooling for treatment of traumatic brain swelling. Methods Totally 62 patients with cerebral encephalocele brain injury surgery for catheter drainage with lumbar cistern combined with physical cooling,including 50 cases of unilateral craniotomy,12 cases of bilateral craniotomy. Results After 10- 15 days,26 cases of reduction of drainage encephalocele,relieved in 36 cases,GOS was applied to evaluate. a mild disability in 30 cases( 48. 4%);good in 16 cases( 25. 8%). plant survival and severe disability in 6 cases( 9. 7%),10 cases died( 16. 1%),died of secondary brainstem damage and severe cerebral contusion and laceration in 6 cases,1 case were complicated with pulmonary infection,hemorrhage of upper digestive tract in 1 case,2 cases of systemic failnre. Conclusion The treatment method can effectively reduce the intracranial pressure,relieve encephalocele,reduce the mortality and disability rate. It could be effective measures for treating early postoperative encephalocele after craniocerebral injury.更多还原