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頁籤選單縮合
題 名 | 腦瘤病人的急症處理=Emergency Management for the Brain Tumor Patients |
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作 者 | 蔣明富; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 4:2 2002.04[民91.04] |
頁 次 | 頁118-127 |
分類號 | 415.938 |
關鍵詞 | 腦瘤; 腦浮腫; 腦出血; 水腦症; 腦下垂體瘁中; 癲癇; Brain tumor; Brain edema; Hemorrhage; Hydrocephalus; Pituitary apoplexy; Seizures; |
語 文 | 中文(Chinese) |
中文摘要 | 對於腦瘤病人發生神經學急症的緊急處置,仍是神外科學的一項挑戰;臨床上,從病人出現局部神經學症狀或全身系統性症狀時,即須儘速進行臨床評估、神經學檢查、與神經影像檢查;在得到基本檢查資料後,即可就其致病因素作鑑別診斷。 造成腦瘤急症的致病因素包括腫塊效應、出血、梗塞、腦浮腫、水腦症、腦下垂體瘁中與癲癇,在對病因的確認後,即預給予更積極與合適的治療,這包含初步治療、緊急處理與隨後的藥物治療及外科開刀手術處置。 藥物治療以控制腦浮腫(給予類固醇、利尿劑、過度呼吸)、癲癇與腦下垂體瘁中為主;外科手術治療不查可以提供快速有效的減壓效果、並可以幫忙確立病理診斷:這對於腦瘤腫塊、血腫塊、水腦症、腦下垂體瘁中之緊急治療,幫忙甚大。 總之,透過審慎積極的處置,並同時採用藥物治療與緊急外科手術,對於腦瘤急症病人,不但可挽救其生命並能降低其併發症。 |
英文摘要 | Emergency treatment of a brain tumor is still a challenge in neurosurgery. When the patient presents with acute focal neurological deficits or systemic signs, a serial clinical assessment neurological examination, and neuroimaging evaluation shall be rapidly conducted. Etiologies of acute neurological deterioration of a patient with brain tumor included mass effect of tumor, hemorrhage, infarction, brain edema, hydrocephalus, seizures and pituitary apoplexy. Based on the physical and imaging results, the surgeon must choose from a selection of medical and/or surgical treatment alternavies. Medical management includes treatment of brain edema (with steroids, diuretics, hyperventilation), seizures and pituitary apoplexy. The objectives of surgical treatment include establishing a histological diagnosis and providing rapidly adequate brain decompression. Surgical intervention is effective for the treatment of tumor mass, hematoma, hydrocephalus and pituitary apoplexy. In conclusion, optimal management for brain tumor patients includes both medical and surgical therapy is to prevent further neurological deterioration and to effectively decrease the morbidity and mortality. |
本系統中英文摘要資訊取自各篇刊載內容。