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目的指出早期就诊抢救重型颅脑损伤,努力控制积极治疗颅内压增高是降低重型颅脑损伤死亡率的关键所在。方法通过对164例重型颅脑损伤病例的统计分析,提出了早期就诊(3h内)并发症少、救治率高的临床对比资料,分析了脑水肿、颅高压、脑肿胀的内在联系和致死机制,提供手术和药物治疗的方法。结果164例重型颅脑损伤,死亡34例,死亡率20.73%。3h内就诊118例,死亡17例,死亡率14.41%。4~12h就诊46例,死亡17例,死亡率36.95%。结论重型颅脑损伤的救治一是应立足3h以内积极就诊;二是治疗的重点是处理肿胀,降低颅内压;三是预防和治疗并发症。
Objective To point out that the early diagnosis and treatment of severe craniocerebral injury, and strive to control the positive treatment of increased intracranial pressure is the key to reduce the mortality rate of severe craniocerebral injury. Methods According to the statistical analysis of 164 cases of severe craniocerebral injury, we put forward the clinical comparative data of few early complications (within 3 hours) and high treatment rate, analyzed the internal connection and death mechanism of cerebral edema, intracranial hypertension, brain swelling , To provide surgical and medical treatment methods. Results 164 cases of severe craniocerebral injury, 34 cases died, the mortality rate was 20.73%. 118 cases were treated within 3 hours, 17 cases died, the death rate was 14.41%. 46 cases were treated 4 to 12 hours, 17 cases died, the mortality rate was 36.95%. Conclusion The treatment of severe craniocerebral injury should be based on 3 h within a positive treatment; second is the treatment of the focus is to deal with swelling, reduce intracranial pressure; third is the prevention and treatment of complications.