[1]李长栋,蔡志标,周杰,等.反常性脑疝3例报道及文献复习[J].中国临床神经外科杂志,2022,27(05):384-386.[doi:10.13798/j.issn.1009-153X.2022.05.016]
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反常性脑疝3例报道及文献复习()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年05期
页码:
384-386
栏目:
经验介绍
出版日期:
2022-05-31

文章信息/Info

文章编号:
1009-153X(2022)05-0384-04
作者:
李长栋蔡志标周杰王凯
730050兰州,解放军联勤保障部队第940医院神经外科(李长栋、蔡志标、周杰、王凯)
关键词:
反常性脑疝去骨瓣减压术腰椎穿刺术脑脊液引流术
分类号:
R651.1+1
DOI:
10.13798/j.issn.1009-153X.2022.05.016
文献标志码:
B
摘要:
目的 总结反常性脑疝的发生机制、病因、临床特点、影像学特征及治疗措施。方法 回顾性分析我院收治的3例反常性脑疝的临床资料,结合相关文献进行总结。结果 1例去骨瓣减压术后10 d,行腰椎穿刺术后2 d发生反常性脑山;1例去骨瓣减压术后2 d发生反常性脑疝;此2例均置头低脚高位,停用脱水药物,并补液扩容治疗,2~3 d病情逐渐恢复。另1例因外伤后1年余行颅骨成形术,术后当日即病情恶化,发生反常性脑疝,未及时处置,最终死亡。结论 依据临床特征和典型影像学表现,反常性脑疝诊断不难。然而,反常性脑疝的诊疗可能仍存在误区,对其病理生理机制认识不足,易造成误诊和漏诊。

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:甘肃省自然科学基金(21JR1RA182)
通讯作者:周 杰,E-mail:13309313131@163.com
更新日期/Last Update: 2022-06-30