Rathore Ashpal Singh, Satyarthee Guru Dutta, Mahapatra Ashok Kumar
J.P.N.A Trauma Centre, Department of Neurosurgery, New Delhi, India.
Turk Neurosurg. 2016;26(2):302-5. doi: 10.5137/1019-5149.JTN.4238-11.1.
Tension pneumocephalus is an uncommon and life-threatening neurological condition. It requires emergent and immediate attention to prevent fatal complications. Head injury is the most common cause of tension pneumocephalus. Air can gain access into the cranium either through a fracture involving paranasal sinus or the middle ear cavity or even more rarely in association with a compound depressed fracture of the skull vault. Its management includes simple twist drill and aspiration of intracranial air with or without placement of an under water seal. 100% oxygen should be administered by a non-breatheable mask which hastens the resorption of air. The authors report a series of 4 cases of post-traumatic tension pneumocephalus, highlighting its management, and review the pertinent literature.
张力性气颅是一种罕见且危及生命的神经系统疾病。它需要紧急且立即的关注以预防致命并发症。头部损伤是张力性气颅最常见的原因。空气可通过涉及鼻窦或中耳腔的骨折进入颅骨，甚至更罕见地与颅骨穹窿的复合凹陷性骨折相关联进入颅骨。其治疗包括简单的钻孔及抽吸颅内空气，可放置或不放置水下引流。应使用非呼吸面罩给予100%氧气，这可加速空气的吸收。作者报告了一系列4例创伤后张力性气颅病例，强调了其治疗方法，并复习了相关文献。
