Abstract
Objective To explore the risk factors of acute encephalocele during operation in patients with PADBS(post-traumatic acute diffuse brain swelling). Methods Gender, age, time from injured to operation,deceleration craniocerebral injury, multiple injuries,cranial CT scan hematoma thickness,hernia, GCS scale before operation, hypotension during operation, operation methods were recorded and analyzed the risk factors in 58 acute encephalocele during operation in patients with PADBS(study group)and 47 patients without acute encephalocele (control group)by multi-factor regression analysis. Results Deceleration craniocerebral injury, hernia, GCS scale before operation, hypotension during operation were closely correlated with the occurrence of acute encephalocele during operation. Conclusions Deceleration craniocerebral injury, hernia, GCS scale before operation, hypotension during operation are the risk factors for acute encephalocele during operation. Precise evaluation before operation and active control during operation will reduce the risk of acute encephalocele during operation in patients with PADBS. Key words: Brain edema; Encephalocele; Risk factors; Pathogenesis
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