中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
12期
1631-1632
,共2页
颅脑创伤,重型%急诊%预后
顱腦創傷,重型%急診%預後
로뇌창상,중형%급진%예후
Craniocerebral injury,severe%Emergency%Prognosis
目的 探讨重型颅脑创伤的临床特点与急诊策略.方法 回顾性分析132例重型颅脑损伤患者的临床资料.结果 132例重型颅脑创伤患者,其中手术治疗85例,非手术治疗47例.按GCS评分,出院时恢复良好101例占76.4%;死亡9例,占7.2%;伤残22例,占16.4%.结论 重型颅脑创伤必须强调早期的有效急诊治疗,包括现场急救、保持呼吸道通畅、处理休克等合并伤、去骨瓣降低颅内压等措施是急诊治疗成功的关键.
目的 探討重型顱腦創傷的臨床特點與急診策略.方法 迴顧性分析132例重型顱腦損傷患者的臨床資料.結果 132例重型顱腦創傷患者,其中手術治療85例,非手術治療47例.按GCS評分,齣院時恢複良好101例佔76.4%;死亡9例,佔7.2%;傷殘22例,佔16.4%.結論 重型顱腦創傷必鬚彊調早期的有效急診治療,包括現場急救、保持呼吸道通暢、處理休剋等閤併傷、去骨瓣降低顱內壓等措施是急診治療成功的關鍵.
목적 탐토중형로뇌창상적림상특점여급진책략.방법 회고성분석132례중형로뇌손상환자적림상자료.결과 132례중형로뇌창상환자,기중수술치료85례,비수술치료47례.안GCS평분,출원시회복량호101례점76.4%;사망9례,점7.2%;상잔22례,점16.4%.결론 중형로뇌창상필수강조조기적유효급진치료,포괄현장급구、보지호흡도통창、처리휴극등합병상、거골판강저로내압등조시시급진치료성공적관건.
Objective To investigate the emergency treatments of severe craniocerebral injury ( SCCI).Methods Clinical data of 132 patients with SCCI were analyzed retrospectively.Results There were operated on 85 patients and conservative treatment for 47 patients in all 132 SCCI.According to Glasgow outcome scale(GCS) ,101 cases(76.4%) survived,9 cases(7.2%) died,22 cases(16.4%) were disable.Conclusion It was important to carry out the first aid and emergency treatments in time for SCCI,and intensive management of airway,early incision of trachea,anti-shock therapy and decompressive craniotomy or trauma craniotomy and so on, was the key point to successfully rescue of SCCI.
