A clinical study on brain herniation in patients with moderate craniocerebral injury during subacute phase after truma

HE Zhaohui; et al

doi:10.13406/j.cnki.cyxb.2005.05.043

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A clinical study on brain herniation in patients with moderate craniocerebral injury during subacute phase after truma

更新时间：2024-01-17

- A clinical study on brain herniation in patients with moderate craniocerebral injury during subacute phase after truma
- Journal of Chongqing Medical University Issue 5, (2005)
- 作者机构：
  
  1. 重庆医科大学附属第一医院脑外科
  2. 重庆医科大学附属第一医院脑外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.05.043
  CLC： R651.15
- Published：2005，
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[1]何朝晖,支兴刚,唐文渊.“中型”颅脑损伤患者亚急性期突发脑疝临床分析[J].重庆医科大学学报,2005(05):137-139.

HE Zhaohui, et al. A clinical study on brain herniation in patients with moderate craniocerebral injury during subacute phase after truma. [J]. Journal of Chongqing Medical University (5).(2005)
[1]何朝晖,支兴刚,唐文渊.“中型”颅脑损伤患者亚急性期突发脑疝临床分析[J].重庆医科大学学报,2005(05):137-139. DOI： 10.13406/j.cnki.cyxb.2005.05.043.

HE Zhaohui, et al. A clinical study on brain herniation in patients with moderate craniocerebral injury during subacute phase after truma. [J]. Journal of Chongqing Medical University (5).(2005) DOI： 10.13406/j.cnki.cyxb.2005.05.043.

摘要

目的:总结“中型”颅脑损伤患者亚急性期突发脑疝的临床特点

探讨发病原因。方法:回顾性分析我科1997年

005年间收治的33例“中型”颅脑损伤患者在亚急性期突发脑疝的病历资料。结果:脑挫裂伤融合形成血肿扩大、脑挫裂伤继发脑水肿加重、迟发性脑内血肿是“中型”颅脑损伤患者亚急性期突发脑疝的常见原因。本组有30例在病情恶化后接受手术治疗。22例术后恢复良好

4例因枕骨大孔疝而死亡。结论:大多数“中型”颅脑损伤患者亚急性期病情相对平稳

但部分患者突然发生脑疝

导致致残率或死亡率增高。

Abstract

Objective:To summrize the clinical features of brain herniation in patients with moderate craniocerebral injury during subacute phase after truma and to study the etiology.Methods:The data of 33 cases of brain herniation in patients with moderate craniocerebral injury during subacute phase after truma in the department where the authers worked from 1997 to 2005 were studied retrospectively.Results:Hematoma formation after cerebral contusion

cerebral edema after cerebral contusion

delayed intracerebral hematomas formation were main causes of brain herniation in patients with moderate craniocerebral injury during subacute phase after truma.There were 28 patients had been treated surgically after exacerbation.22 cases had a good prognosis and 5 cases died of cerebellar tonsillar herniation.Conclusion:The conditon of most patients with moderate craniocerebral injury during subacute phase after truma is stable

while some cases worsen and even develop into brain herniation

and the incidence of disablity and mortality rise significantly.

关键词

颅脑损伤脑疝亚急性期

Keywords

craniocerebral injuryBrain herniationSubacute phase

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Related Institution

Department of Neurosurgery,the Fifth Hospital of Chengdu City

Ｄepartment of Radiology，the Third People’s Hospital of Changshou

Ｄepartment of Radiology，People’s Hospital of Changshou

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