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目的探究脑肿瘤患者手术过程中发生急性脑膨出的原因,制订有效地预防和处理措施。方法本研究随机选取我院2003年6月到2013年4月期间收治的脑肿瘤患者1652例作为研究对象,均行外科切除术治疗,回顾性分析患者的临床资料。结果本组1652例外科手术切除治疗的脑肿瘤患者在手术过程中发生急性脑膨胀26例(1.57%),脑动力学平衡改变、肿瘤切除术中患者颅内改变、灌注压突破、脑积水逐渐加重等因素导致急性脑膨胀,经过及时有效地急救和预防处理,效果显著。结论脑肿瘤患者术前正确评估并积极采取有效地预防措施、在手术过程中轻柔操作、积极明确查找出脑膨出的原因并及时妥善处理,在手术后严密观察患者的病情是避免术中急性脑膨出以及术后严重并发症的关键环节。
Objective To explore the causes of acute brain edema in the operation of patients with brain tumors and formulate effective prevention and treatment measures. Methods In this study, randomly selected 1652 cases of brain cancer patients admitted to our hospital from June 2003 to April 2013 were treated by surgical resection, and the clinical data of the patients were retrospectively analyzed. Results There were 26 cases (1.57%) of acute cerebral edema occurred in 1652 cases of brain tumor patients undergoing surgical resection in this group. The balance of brain kinetics was changed. The intracranial changes of patients undergoing tumor resection, the breakthrough of perfusion pressure and hydrocephalus Gradually increased and other factors lead to acute brain swelling, after timely and effective first aid and prevention, the effect is significant. Conclusion The patients with brain tumor were correctly evaluated preoperatively and actively took effective preventive measures. They operated gently during the operation, actively and clearly identified the causes of encephalocele, and properly handled them promptly. The close observation of the patient’s condition after the operation is to avoid the acute intraoperative Encephalocele and postoperative serious complications of the key link.