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目的分析颅脑损伤术中急性脑膨出的分型及其综合治疗方法。方法选择2008年1月—2013年6月我院收治的颅脑损伤术中发生急性脑膨出的患者108例,根据其临床特点进行分型,并采取相应的综合治疗方法。结果 108例颅脑损伤术中发生急性脑膨出的患者主要有5种类型:对侧硬膜外血肿型44例(40.74%),窦汇区硬膜外血肿型20例(18.52%),弥漫性脑肿胀型18例(16.67%),大面积脑梗死型16例(14.81%),脑挫伤型10例(9.26%)。采取相应的治疗后患者均取得良好的效果。随访半年无复发现象。结论颅脑损伤术中急性脑膨出可以分为多种类型,根据不同类型选择对应的治疗方案对于提高治疗效果具有良好的促进作用。
Objective To analyze the classification of acute encephalocele during craniocerebral injury and its comprehensive treatment. Methods One hundred and eighty patients with acute encephalocele during acute traumatic brain injury admitted to our hospital from January 2008 to June 2013 were selected and classified according to their clinical characteristics and the corresponding comprehensive treatment was taken. Results There were five main types of 108 patients with acute encephalocele during craniocerebral injury: 44 cases (40.74%) of the contralateral epidural hematoma, 20 (18.52%) of the extradural hematoma in the Douhui area, Diffuse brain swelling in 18 cases (16.67%), large cerebral infarction in 16 cases (14.81%), contusion type in 10 cases (9.26%). After taking the appropriate treatment patients have achieved good results. Follow-up six months without recurrence. Conclusion Acute encephalocele during craniocerebral injury can be divided into many types. According to the different types of treatment options, it has a good promotion effect on the treatment effect.