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目的:探究重型颅脑损伤的预后的影响因素。方法:通过回顾性分析我院2009年2月-2012年3月收治的70名重型颅脑损伤患者的临床资料,并且结合文献调研结果探究CT、GCS以及合并症与预后的影响因素、关系。结果:70名重型颅脑损伤患者中有17名患者治疗无效死亡,有4名患者成为植物人,有10名患者重残,有39名患者经过治疗良好和中残。结论:基底池有无闭塞、入院时患者的瞳孔改变、GCS计分、患者的血肿类型以及对并发症的治疗等均会影响重型颅脑损伤的预后。
Objective: To explore the prognostic factors of severe craniocerebral injury. Methods: The clinical data of 70 patients with severe craniocerebral injury who were treated in our hospital from February 2009 to March 2012 were retrospectively analyzed. The CT, GCS and the influencing factors and prognosis of CT and GCS were studied. RESULTS: Seventeen of 70 patients with severe craniocerebral injury died of ineffectiveness, 4 were vegetative, 10 were severely disabled, and 39 were well treated and disabled. Conclusion: There is no occlusion in the basilar pool, changes of pupil on admission, GCS score, type of hematoma in the patient and the treatment of complications all affect the prognosis of severe craniocerebral injury.