解压性脑膜切除术后与高压氧气疗法相关的矛盾:一个病例报告
Zhong-Xing Ye1, Xin-Xin Fu1, Yang-Zong Wu2
1Department of Neurosurgery, The Second People's Hospital of Fujian Province (The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine), Fuzhou 350001, Fujian Province, China.
World journal of clinical cases
|April 25, 2024
概括
高压氧气疗法 (HBOT) 可能会在脑创伤患者中引起罕见的悖论性. 曼尼托尔可能会使这种情况恶化,而及时修复头骨可以解决它并确保恢复.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 高压医学的高压医学.
背景情况:
- 高压氧气疗法 (HBOT) 诱导悖论性的可能性仍然不确定.
- 悖论性是神经外科手术后的一种罕见但严重的并发症.
研究的目的:
- 报告一个可能与脑创伤患者的HBOT相关的悖论性的病例.
- 讨论这种罕见并发症的临床过程,管理和影响.
主要方法:
- 一个65岁的男性脑创伤患者的案例研究,他接受了解压缩切除术.
- 手术后22天使用HBOT治疗语音障碍.
- 对悖论性的观察,随后的曼尼托尔治疗,以及最终的头骨修复.
主要成果:
- 在HBOT的第二天出现了悖论性.
- 曼尼托尔给药后,患者的病情恶化.
- 在及时修复头骨后,成功解决了悖论性,并取得了良好的恢复.
结论:
- HBOT可能是悖论性的潜在原因,尽管机制尚未完全理解.
- 曼尼托尔的使用可能会加剧悖论性.
- 迅速的手术干预,特别是头骨修复,对于管理矛盾并防止不良结果至关重要.
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