[1]曹轲,杨文进,吴晨星,等.经翼点入路鞍区肿瘤切除术后继发小脑出血并脑积水的治疗分析[J].临床神经外科杂志,2018,15(05):372-376.[doi:10.3969/j.issn.1672-7770.2018.05.013]
 CAO Ke,YANG Wen-jin,WU Chen-xing,et al.Analysis on treatment of secondary cerebellar hemorrhage and hydrocephalus after sellar tumor resection by pterional approach[J].Journal of Clinical Neurosurgery,2018,15(05):372-376.[doi:10.3969/j.issn.1672-7770.2018.05.013]
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经翼点入路鞍区肿瘤切除术后继发小脑出血并脑积水的治疗分析()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年05期
页码:
372-376
栏目:
论著
出版日期:
2018-10-15

文章信息/Info

Title:
Analysis on treatment of secondary cerebellar hemorrhage and hydrocephalus after sellar tumor resection by pterional approach
作者:
曹轲杨文进吴晨星郭义君杜固宏童武松
201200 上海,上海市浦东新区人民医院神经外科(曹轲,杨文进,吴晨星,郭义君,童武松);上海华山医院神经外科(杜固宏)
Author(s):
CAO KeYANG Wen-jinWU Chen-xinget al.
Department of Neurosurgery,Shanghai Pudong New Area People's Hospital,Shanghai 201200,China
关键词:
鞍区肿瘤术后并发症小脑出血脑积水
Keywords:
sellar region tumorpostoperativecomplicationcerebellar hemorrhagehydrocephalus
分类号:
R739.4
DOI:
10.3969/j.issn.1672-7770.2018.05.013
文献标志码:
A
摘要:
目的 探讨经翼点入路鞍区肿瘤切除术后继发小脑出血并急性脑积水的治疗方法、疗效及依据,以及该病的发病机制。方法 分析1例表现单眼视力下降,经翼点入路鞍区肿瘤切除术后继发小脑出血并急性脑积水患者的资料。患者术后出现并发症后,采用脱水、消肿及间断腰穿释放血性脑脊液等保守治疗方案治疗。并结合相关文献对该并发症的发病原因、治疗方法及理论依据进行分析。结果 本例患者经采用非手术的保守治疗方案治疗1周后,控制住了小脑出血和脑积水的进展;治疗2周后小脑内血肿基本吸收,急性脑积水完全消除。结论 对于鞍区肿瘤术后继发小脑出血及急性梗阻性脑积水,在患者病情稳定的情况下,通过保守治疗保持脑脊液循环通道始终处于畅通状态,可控制病情进展;并可在梗阻性脑积水的急性期将其根治。
Abstract:
Abstract:Objective To investigate the experience of successful cure with conservative treatment on a case of complication of secondary cerebellar hemorrhage and acute hydrocephalus after sellar tumor resection with pterional approach and analyze the mechanism of pathogenesis and the basis of treatment.Methods The data of one patient of sellar tumor resection with pterional approach with the main clinical manifestation as decreased monocular visual vision was analyzed,who underwent the complication of secondary acute cerebellar hemorrhage and acute hydrocephalus and was successfully treated by conservative treatment of dehydration,subsidence of swelling.The pathogenesis and curing experience and relevant theoretical basis of the complication were also deeply analyzed and investigated.Results For the patient with secondary acute cerebellar hemorrhage and acute hydrocephalus after sellar tumor resection with pterional approach,non-operational conservative treatment of strengthen hemostasis,dehydration,subsidence of swelling,and lumbar puncture had controlled the progress of acute cerebellar hemorrhage,and also completely cured postoperative secondary acute hydrocephalus.Conclusion For secondary acute cerebellar hemorrhage and acute obstructive hydrocephalus after sellar tumor resection,if in stable condition,maintain an always unimpeded cerebrospinal fluid circulation channel with conservative treatment can control the progress of the disease,and can also completely cure obstructive hydrocephalus acute in its acute phase.

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[1]丁陈禹,王守森.鞍区病变与中枢性尿崩症[J].临床神经外科杂志,2014,(05):398.
[2]杨烈驰,谷佳,沈志刚,等.急性硬膜下血肿术后继发脑梗死的危险因素分析[J].临床神经外科杂志,2019,16(4):350.[doi:10.3969/j.issn.1672-7770.2019.04.015]
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更新日期/Last Update: 2018-10-10