CAJ | 학술논문

目的探讨重型颅脑损伤(severe craniocerebral injury,SCCI)术后二次脑损伤(secondary.braininjury,SBI)因素对手术效果及预后的影响.方法采用回顾性研究的方法,对近年来的134例SCCI手术病例进行回顾分析,找出二次脑损伤因素与手术效果及预后的关系.结果根据出院时GOS评定结果,良好72例(53.73％),中残15例(11.19％),重残13例(9.70％),植物生存9例(6.72％),死亡 25例(18.66％).结论重型颅脑损伤术后,二次脑损伤因素的异常波动是导致SCCI患者二次脑损伤的重要因素,其中术后低血压休克、低血容量所致的脉率加快、伤后ICP异常升高以及术后高热等对手术效果影响巨大,严重影响预后.
목적 탐토중형로뇌손상(severe craniocerebral injury,SCCI)술후이차뇌손상(secondary.braininjury,SBI)인소대수술효과급예후적영향.방법 채용회고성연구적방법,대근년래적134례SCCI수술병례진행회고분석,조출이차뇌손상인소여수술효과급예후적관계.결과 근거출원시GOS평정결과,량호72례(53.73％),중잔15례(11.19％),중잔13례(9.70％),식물생존9례(6.72％),사망 25례(18.66％).결론 중형로뇌손상술후,이차뇌손상인소적이상파동시도치SCCI환자이차뇌손상적중요인소,기중술후저혈압휴극、저혈용량소치적맥솔가쾌、상후ICP이상승고이급술후고열등대수술효과영향거대,엄중영향예후.
Objective To explore the effect of secondary brain in jury on surgical efficacy and prognosis in patients with severe craniecerebral injury ( SCCI ).Methods The clinical data on patients who had undergone surgery for SCCI in recent years were retrospectively analyzed.The association of secondary brain in jury with surgical efficacy and prognosis.Results According to the results of GOS assessment at discharge,72 patients ( 53.73％ ) were satisfied,15 ( 11.19％ )were mild disable,13 ( 9.70％ )were severe disable,9 ( 6.72％ )were in vegetative state,and 25( 18.66％ )were dead.Conclusions Abnormal changes in factors of secondary craniocerebral injury result in severe craniocerebral injury.Postoperative hypotension-induced shock,rapid pulse caused by hypovolemia,abnormal elevation in ICP,and postoperative high fever have negative effects on surgical efficacy and prognosis.