中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2012年
7期
605-608
,共4页
叶磊%汪海关%许群峰%卢心廷%汤平%潘小庆
葉磊%汪海關%許群峰%盧心廷%湯平%潘小慶
협뢰%왕해관%허군봉%로심정%탕평%반소경
颅脑损伤%应急处理%损伤控制
顱腦損傷%應急處理%損傷控製
로뇌손상%응급처리%손상공제
Craniocerebral trauma%Emergency treatment%Damage control
目的 探讨特重型颅脑损伤患者的应急处理及救治措施.方法 回顾性分析2005年9月-2011年5月收治的82例特重型颅脑损伤患者的应急处理情况.结果 82例患者GOS评分:恢复良好10例(12％),中残17例(21％),重残12例(20％),植物生存4例(2％),死亡39例,死亡率为48％.结论 快速有效的院前急救,及时的外科手术干预,规范化的后续治疗,遵循损伤控制外科理念以及重视防治二次脑损伤,能有效提高特重型颅脑损伤患者救治成功率.
目的 探討特重型顱腦損傷患者的應急處理及救治措施.方法 迴顧性分析2005年9月-2011年5月收治的82例特重型顱腦損傷患者的應急處理情況.結果 82例患者GOS評分:恢複良好10例(12％),中殘17例(21％),重殘12例(20％),植物生存4例(2％),死亡39例,死亡率為48％.結論 快速有效的院前急救,及時的外科手術榦預,規範化的後續治療,遵循損傷控製外科理唸以及重視防治二次腦損傷,能有效提高特重型顱腦損傷患者救治成功率.
목적 탐토특중형로뇌손상환자적응급처리급구치조시.방법 회고성분석2005년9월-2011년5월수치적82례특중형로뇌손상환자적응급처리정황.결과 82례환자GOS평분:회복량호10례(12％),중잔17례(21％),중잔12례(20％),식물생존4례(2％),사망39례,사망솔위48％.결론 쾌속유효적원전급구,급시적외과수술간예,규범화적후속치료,준순손상공제외과이념이급중시방치이차뇌손상,능유효제고특중형로뇌손상환자구치성공솔.
Objective To discuss the emergency management and treatment measures of critically severe craniocerebral trauma.Methods A retrospective study was conducted on the emergency management in 82 patients with critically severe craniocerebral trauma admitted to our hospital from September 2005 to May 2011.Results According to the Glasgow Outcome scale ( GOS),there were 10 patients with good recovery (12％),17 with moderate disability (21％),12 with severe disability (20％),four in vegetable status (2％) and 39 deaths (48％).Conclusion The success rate in the treatment of critically severe craniocerebral injury can be enhanced through rapid and effective pre-hospital care,prompt surgical intervention,standardized subsequent therapy,adherence to damage control surgery concept,and emphasis on prevention and cure of secondary brain injury.
