The high risk factors and emergency treatments to the patients with in-traoperative acute encephalocele caused by delayed intracranial hematomas at non operating region:An investigate of 40 cases
- VernacularTitle:术中非手术区迟发性颅内血肿致急性脑膨出的高危因素及抢救体会40例
- Author:
Gang ZHAO
1
;
Shuai LIU
;
Jun LI
;
Yu WANG
;
Jicheng SUN
;
Yi ZHANG
;
Bo WANG
Author Information
1. 铁法煤业集团总医院神经外一科
- Keywords:
Non operating region;
Delayed intracranial hematoma;
Encephalocele
- From:
China Modern Doctor
2014;(23):145-148
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the high risk factors and emergency treatments to the patients with intraoperative acute encephalocele caused by delayed intracranial hematomas at non operating region. Methods The clinical data of 40 patients with intraoperative acute encephalocele caused by delayed intracranial hematomas at non operating region from January 2000 to December 2013 were analyzed retrospectively. Summarized the high risk factors and emergency treatments in this case. Results The 22 cases with contrecoup injury. 14 cases with extensive contusion of brain,16 cases with skull fracture and 10 cases with small intracranial hematoma (Volume <15mL).The delayed intracranial hematomas to the acute encephalocele include,32 cases at the offside. And 24 cases with epidural hematoma. 32 cases had to undergo reoperation, survived 16 cases. The total death rate was 60%. Conclusion The high risk factors are ex-tensive contusion of brain, offside skull fracture and the delayed intracranial hematomas at non operating region. Under-standing Its high risk factors in clinical, with much more foreseeability, and sufficient preoperative preparation, right in-traoperative treatment, a scientific system comprehensive treatment postoperation can save the patients' life in maximum.
