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目的探讨重型颅脑损伤的临床特点和救治经验。方法回顾性总结2002年1月2008年12月所诊治重型颅脑损伤96例的临床资料。结果 96例重型颅脑损伤患者,其中手术治疗59例,非手术治疗37例。按GOS评分,出院时恢复良好33例(34.4%),中残15例(15.6%),重残16例(16.7%),植物生存8例(8.3%),死亡24例(25.0%)。结论重型颅脑损伤仍然具有较高的病死率和致残率,早期及时手术清除颅内血肿解除脑疝,早期气管插管或气管切开并呼吸机支持治疗及其它积极恰当的综合治疗措施是抢救治疗成功的关键;后期加强护理注重防治并发症,可以最大可能挽救患者生命。
Objective To investigate the clinical features and treatment experience of severe craniocerebral injury. Methods The clinical data of 96 patients with severe craniocerebral injury diagnosed and treated in January 2002 and December 2008 were retrospectively reviewed. Results 96 cases of severe head injury patients, including 59 cases of surgical treatment, non-surgical treatment of 37 cases. According to the GOS score, 33 cases (34.4%) recovered well after discharge, 15 (15.6%) had moderate disability, 16 (16.7%) had severe disability, 8 (8.3%) had plant survival and 24 (25.0%) died. Conclusions Severe craniocerebral injury still has high mortality and morbidity. Early and timely surgical removal of intracranial hematoma can relieve hernia, and early tracheal intubation or tracheotomy with ventilator supportive therapy and other positive and appropriate comprehensive treatment measures are Rescue the key to the success of treatment; late care to focus on prevention and treatment of complications, you can save the patient’s life the greatest possible.