RESUMEN
Objective To investigate the causes and treatment strategies of intraoperative encephalocele brain injury.Meethods 55 traumatic brain injury patients with intraoperative encephalocele were selected,the clinical data were retrospectively analyzed.Results 55 patients undergoing acute encephalocele reasons including widespread severity of brain contusion,acute brain swelling(19cases),delayed intracranial hematoma(28 cases),the late herniation,hematoma too long(4 cases),traumatic shock and hypotension leading to cerebral ischemia,hypoxia (4 cases).Assessed by GOS outcome at discharge:Good 3 cases,moderate disability in 5 cases,8 cases of severe disability,vegetative five cases,of whom 34 died.Conclusion Delayed intracranial hematoma,acutebrain swelling is an acute intraoperative encephalocele main reason.Clear intraoperative brain injury causes acute encephalocele,take appropriate measures as soon as possible,in order to achieve better results and reduce mortality.