张力肺脑病:扩展内镜内道方法的潜在致命并发症
Garima Upreti1,2, G Edmond Jonathan3, Rajan Sundaresan1
1Department of Otorhinolaryngology, Christian Medical College, Vellore, Tamil Nadu India.
概括
张力肺脑病 (TP) 是一种罕见但危及生命的并发症,发生在内镜内鼻外科手术后. 及时诊断和紧急的手术减压对于患有TP的患者的良好结果至关重要.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头骨底部手术 头骨底部手术
背景情况:
- 在手术期间持续的损伤会导致肺脑病.
- 紧张性肺脑病 (TP) 是一种罕见的 (<1%),但在内镜内外科手术 (EEEA) 后的关键神经外科紧急情况.
研究的目的:
- 在EEEA之后呈现两个TP案例.
- 在EEEA审查TP的病理生理学,诊断,管理和预防.
主要方法:
- 两个患有TP后EEEA的患者的病例介绍.
- 在EEEA之后对TP的文献综述.
主要成果:
- 两名患者在EEEA治疗头骨底部瘤 (腺囊性癌,脑膜瘤) 后出现了TP.
- 在这两种情况下,突然的神经恶化都标志着TP.
- 两名患者都经历了成功的双额头切除术,以减压和修复头骨底部.
结论:
- TP是一种危及生命的紧急情况,需要立即减压.
- 精细的预防策略和警的术后监测对于EEEA至关重要.
- 迅速的手术干预和坚固的头骨底部修复对于避免并发症至关重要.
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