脑中心疝是指幕上占位性病变压迫中线结构,并使之移位、疝出,由此产生临床症状有顺序性变化的一组综合症。在中心疝治疗的整个过程中,我们依据Plum 的分期判断标准,及时大量应用甘露醇,速尿及激素,减少了死亡率。Plum 把中心疝的症状分为四期:大脑深部中线结构损害,会发生不同程度意识障碍,必伴有呼吸、眼球运动、瞳孔光反射、 Brain center hernia refers to the supratentorial space-occupying lesions oppression midline structure, and to shift, hernia, resulting in a series of clinical symptoms of a group of syndromes. In the center of hernia treatment throughout the process, we based on Plum staging criteria, timely and extensive use of mannitol, furosemide and hormones, reducing mortality. Plum divided the symptoms of central hernia into four phases: damage to the midline structure of the brain, varying degrees of disturbance of consciousness, accompanied by breathing, eye movement, pupil light reflexes,