切换至 "中华医学电子期刊资源库"

中华脑血管病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 422 -424. doi: 10.11817/j.issn.1673-9248.2023.04.020

病例报告

亚低温联合去骨瓣减压术治疗脑梗死后难治性高颅压一例
肖茜茜, 王长玉, 李菲菲, 蒋胶胶, 马冬璞()   
  1. 450000 郑州,郑州大学附属郑州中心医院神经重症科
  • 收稿日期:2022-12-25 出版日期:2023-08-01
  • 通信作者: 马冬璞
  • 基金资助:
    基于生物标记物检测预测急性脑梗死灶体积扩大的研究(2018020769)

Mild hypothermia therapy combined with decompressive craniectomy for refractory intracranial hypertension after ischemic stroke

Xixi Xiao, Changyu Wang, Feifei Li   

  • Received:2022-12-25 Published:2023-08-01
引用本文:

肖茜茜, 王长玉, 李菲菲, 蒋胶胶, 马冬璞. 亚低温联合去骨瓣减压术治疗脑梗死后难治性高颅压一例[J]. 中华脑血管病杂志(电子版), 2023, 17(04): 422-424.

Xixi Xiao, Changyu Wang, Feifei Li. Mild hypothermia therapy combined with decompressive craniectomy for refractory intracranial hypertension after ischemic stroke[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 422-424.

图1 大脑中动脉梗死患者术后双能CT检查示左侧基底节区脑出血,左侧大脑半球大面积脑梗死 图2 大脑中动脉梗死患者术后第2天复查头颅CT示左侧额叶、基底节区脑出血,大脑半球脑肿胀,中线偏移 图3 大脑中动脉梗死患者去骨瓣术后4 h复查头颅CT示左侧额叶、基底节区脑出血,右侧侧脑室内积血,左侧大脑半球大面积脑梗死 图4 大脑中动脉梗死患者亚低温治疗复温成功后头颅CT检查示左侧基底节区脑出血,密度略减低;左侧大脑半球大面积脑梗死
1
Smith M. Refractory intracranial hypertension: the role of decompressive craniectomy [J]. Anesth Analg, 2017, 125(6): 1999-2008.
2
Das S, Mitchell P, Ross N, et al. Decompressive hemicraniectomy in the treatment of malignant middle cerebral artery infarction: a meta-analysis [J]. World Neurosurg, 2019, 123: 8-16.
3
Ivamoto HS, Numoto M, Donaghy R. Surgical decompression for cerebral and cerebellar infarcts [J]. Stroke, 1974, 5(3): 365-370.
4
Cannarsa GJ, Simard JM. Decompressive craniectomy for stroke: who, when, and how [J]. Neurol Clin, 2022, 40(2): 321-336.
5
Goedemans T, Verbaan D, Coert BA, et al. Outcome after decompressive craniectomy for middle cerebral artery infarction: timing of the intervention [J]. Neurosurgery, 2020, 86(3): E318-E325.
6
Kilic M, Ertem DH, Ozdemir B. Timing of decompressive craniectomy for malignant middle cerebral artery infarction: a single-center analysis [J]. Medicina (Kaunas), 2019, 55(2): 31.
7
袁伟, 李春盛. 亚低温治疗在心肺脑复苏中的应用与研究进展 [J]. 中华危重病急救医学, 2016, 28(12): 1165-1169.
8
Zhang XY, Zhao X, Zhang C, et al. Improvement of neurological function and stress in patients with acute massive cerebral infarction by mild hypothermia:a prospective randomized control ledstudy [J]. Zhonghua wei zhong bing ji jiu yi xue, 2019, 31(8): 958-961.
9
Abudeev SA, Popugaev KA, Kruglyakov NM, et al. Hypothermia influences on oxygen tension in the brain parenchyma in patients with aneurysmal subarachnoid hemorrhage [J]. Anesteziol Reanimatol, 2016, 61(2): 155-158.
10
Su YY, Fan LL, Zhang YZ, et al. Improved neurological outcome with mild hypothermia in surviving patients with massive cerebral hemisphericinfarction [J]. Stroke, 2016, 47(2): 457-463.
11
云永利, 陈萍, 杨雷. 静脉溶栓联合亚低温治疗对急性脑梗死患者氧化应激反应及对炎症因子TNF-α, IL-1β的影响 [J]. 贵州医药, 2017, 41(5): 476-478.
12
Fan L, Su Y, Zhang Y, et al. Decompressive craniectomy combined with mild hypothermia in patients with large hemispheric infarction: a randomized controlled trial [J]. BMC Neurol, 2021, 21(1): 114.
13
Park HS, Choi JH. Safety and efficacy of hypothermia (34℃) after hemicra- niectomy for malignant MCA infarction [J]. J Korean Neurosurg Soc, 2018, 61(2): 267-276.
14
Chen Z, Zhang X, Liu C. Outcomes of therapeutic hypothermia in patients treated with decompressive craniectomy for malignant Middle cerebral artery infarction: a systematic review and meta-analysis [J]. Clin Neurol Neurosurg, 2020, 188: 105569.
No related articles found!
阅读次数
全文


摘要