环池形态改变与颅脑损伤开颅术后常见并发症的关系研究

doi:10.3969/j.issn.10056483.2019.02.016

摘要/Abstract

摘要： 目的：探讨环池形态与颅脑损伤开颅术后常见并发症的关系。方法:选取我院2013年11月～2016年11月行去骨瓣减压术279例，探讨环池形态改变与颅脑损伤开颅术后常见并发症的关系。结果:环池受压变窄136例，术后未出现并发症38例，出现一种并发症58例，两种31例，三种及以上9例，其中胃出血38例，肺部感染24例，高血糖21例，泌尿系感染16例，腹泻20例，迟发性颅内血肿14例，其他15例；环池单侧闭塞84例，出现一种并发症30例，两种42例，三种及以上12例，其中胃出血49例，肺部感染38例，高血糖25例，泌尿系感染8例，腹泻13例，迟发性颅内血肿9例，其他11例。环池双侧全闭59例，出现一种并发症6例，两种18例，三种及以上35例，其中胃出血53例，肺部感染51例，高血糖33例，泌尿系感染2例，腹泻2例，迟发性颅内血肿6例，其他10例。结论:环池形态改变越严重，术后并发症种类越多。胃出血，肺部感染和高血糖的发生率与环池受压程度呈正相关，腹泻发生率与环池受压程度呈负相关，迟发性颅内血肿和泌尿系统感染与环池受压程度无关。

关键词: 颅脑损伤, 环池, 并发症

Abstract: Objective:To explore the relationship between ambient cistern and common complications in patients with craniocerebral trauma.Methods:279 cases of decompressive craniectomy in our hospital from November 2013 to November 2016 were selected to explore the relationship between ambient cistern and common complications in patients with craniocerebral trauma.Results:136 cases with narrow ambient cistern，38 cases had no postoperative complications，58 cases had a kind of complications，31 cases had two kinds of complications，9 cases had three kinds of complications.38 cases of gastrorrhagia，24 cases of pulmonary infection，21 cases of hyperglycaemia，16 cases of urinary tract infection，20 cases of diarrhea，14 cases of delayed intracranial hematoma，15 cases of the others.There were 84 cases of unilateral ambient cistern occlusion.There were 30 case of one kind of complications，42 case of two kinds of complications，12 case of three or more kinds of complications，including 49 cases of gastrorrhagia，38 cases of pulmonary infection，25 cases of hyperglycaemia，8 cases of urinary tract infection，13 cases of diarrhea，9 cases of delayed intracranial hematoma and 11 cases of the others.There were 59 cases of both sides of blocked ambient cistern.There were 6 case of one kind of complications，18 case of two kinds of complications，35 case of three or more kinds of complications，including 53 cases of gastrorrhagia，51 cases of pulmonary infection，33 cases of hyperglycaemia，2 cases of urinary tract infection，2 cases of diarrhea，6 cases of delayed intracranial hematoma and 10 cases of the others.Conclusion:The more serious the change of the ambient cistern，the more kinds of postoperative complications.The incidence of gastrorrhagia，pulmonary infection and hyperglycaemia was positively associated with the degree of compression，the incidence of diarrhea was negatively correlated to the degree of compression，delayed intracranial hematoma and urinary tract infection was not associated with the degree of compression.

Key words: craniocerebral injury, ambient cistern, complication

胡均贤, 徐春林, 吴雅兰. 环池形态改变与颅脑损伤开颅术后常见并发症的关系研究[J]. 临床外科杂志, 2019, 27(2): 135-137.

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