Natale M, D'Avanzo R, Lama M, Miele E, Cioffi F A
Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli.
Minerva Anestesiol. 1992 Apr;58(4 Suppl 1):183-8.
The authors report 3 cases of subdural tension pneumocephalus developed after surgery for subdural chronic hematomas. The mechanisms involved in the pathogenesis of this complication are discussed; the importance of the computed tomography in the assessment of the subdural tension pneumocephalus is stressed. Surgery is always indicated in cases of increased tension of the air collection and generally resolves the neurological deficits.
作者报告了3例慢性硬膜下血肿手术后发生的硬膜下张力性气颅病例。讨论了该并发症发病机制中涉及的相关机制;强调了计算机断层扫描在评估硬膜下张力性气颅中的重要性。对于气聚张力增加的病例,手术治疗总是必要的,且通常能解决神经功能缺损问题。