[脑瘤手术后的状态]
K N Lapteva1, I A Savin1, V N Shimansky1
1Burdenko Neurosurgical Center, Moscow, Russia.
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
|June 16, 2023
概括
脑瘤切除后的状态 (SE) 很少见,但致命. 非性SE是常见的,需要仔细的术后管理,以改善患者的结果.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 状态 (SE) 涉及连续的发作.
- 有限的数据存在于脑瘤切除后的SE.
研究的目的:
- 分析SE的临床和电图特征.
- 检查SE过程和脑瘤手术后的结果.
主要方法:
- 对18名患有脑瘤的成年患者进行了回顾性分析,这些患者在手术后 (2012-2019) 开发了SE.
- 视频EEG,神经状态,CT和实验室数据的评估.
主要成果:
- 转移和脑膜瘤是常见的瘤类型.
- 非性SE发生在62%的患者中.
- 77%的SE治疗成功,但死亡率为44%.
结论:
- 在脑瘤手术后早期的术后SE很少见 (0.09%),但死亡率很高.
- 非性SE是常见的,需要特殊的术后护理.
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