Clinical presentation of TP (i.e., intracranial air causing mass effect on the brain) may include agitation, delirium, otherwise altered level of consciousness, pupillary changes, and frontal lobe syndrome.
At times, hemodynamic changes may be present, including episodes of bradycardia with or without hypertension.
壓力性氣腦 就是 "腦裡有氣體 + 中線位移"
車禍面部骨折 住進外科加護病房 ... 24小時後 發生壓力性氣腦 意識變差, 緊急修補手術後 復原 ...
(a) initial computed tomography – note the presence of small amounts of intracranial air;
(b and c) repeat computed tomography of the brain demonstrating increasing pneumocephalus, with slight midline shift (c) and “Mount Fuji” sign;
and (d) postoperative computed tomography showing the resolution of tension pneumocephalus
本來就有氣腦了, 追蹤 CT 發現 "一點點中線位移" ...
這就構成 壓力性氣腦了; 就要馬上手術 不能再觀察了 !! ~~
Clinical presentation of TP (i.e., intracranial air causing mass effect on the brain) may include agitation, delirium, otherwise altered level of consciousness, pupillary changes, and frontal lobe syndrome.
At times, hemodynamic changes may be present, including episodes of bradycardia with or without hypertension.
人躺著 氣體一定聚積在額葉, 壓迫額葉 ... 會造成 病患 人格上的變化, 如 幼稚、失抑、過熟、開黃腔、多話、漫無規矩、不理會他人。