颅骨修补术后猝死1例报道及文献复习

目的提高对颅骨修补术后猝死病例的深入认识。方法报告1例自发性脑出血患者，首次术后6个月，行颅骨修补术，术后猝死。结果患者颅骨修补术后全麻未醒，术后2 h猝死，复查CT提示中线结构恢复，双侧脑组织弥漫性脑肿胀。结论颅骨修补术通常认为是一种安全的常规手术，但是猝死病例屡见不鲜，猝死原因不明，手术时机、脑血管自动调节功能障碍等因素也可能是猝死原因，值得提高警惕。

Objective To improve the recognition of sudden death after cranioplasty. Methods A patient with spontaneous cerebral hemorrhage was reported. 6 months after the first operation, cranioplasty was performed and developed sudden death after operation. Results After cranioplasty, the patient did not wake up from general anesthesia and died suddenly 2 hours after operation. CT showed that the midline structure recovered and bilateral brain tissue was diffuse. Conclusions Cranioplasty is generally considered to be a safe routine operation, but sudden death is not uncommon and the cause of sudden death is still unknown. Timing of operation, cerebrovascular autoregulation dysfunction and other factors may also be the cause of sudden death, which are worthy of vigilance.