Aissaoui Y, Chkoura K, Belhachmi A, Boughalem M
Pôle anesthésie réanimation, hôpital militaire Avicenne, faculté de médecine et de pharmacie, université Cadi Ayyad, 40010 Marrakech, Maroc.
Pôle anesthésie réanimation, hôpital militaire Avicenne, faculté de médecine et de pharmacie, université Cadi Ayyad, 40010 Marrakech, Maroc.
Ann Fr Anesth Reanim. 2013 Nov;32(11):796-8. doi: 10.1016/j.annfar.2013.08.013. Epub 2013 Oct 25.
The occurrence of postoperative pneumocephalus is a common event and is often trivial. When the intracranial air volume is significant, it creates intracranial hypertension causing tension pneumocephalus. This case report describes the occurrence of tension pneumocephalus after surgical drainage of bilateral chronic subdural hematoma. The pneumocephalus was responsible for severe postoperative neurological deterioration. The attending physicians should be aware of the possibility of occurrence of such complication. Treatment and prevention of pneumocephalus should also be well known by the medical staff.
术后气颅的发生是常见事件，通常并不严重。当颅内气体量较大时，会导致颅内高压，引发张力性气颅。本病例报告描述了双侧慢性硬膜下血肿手术引流后发生张力性气颅的情况。气颅导致了严重的术后神经功能恶化。主治医生应意识到发生此类并发症的可能性。医护人员也应熟知气颅的治疗和预防方法。
