CAJ | 학술논문

目的探讨重型颅脑损伤合并严重胸损伤的诊断和治疗.方法对32例重型颅脑损伤合并严重胸损伤的临床资料进行分析.结果 GOS预后评分:恢复良好14例,中残9例,重残3例,植物生存2例,死亡4例.结论重型颅脑损伤合并严重胸损伤其伤情复杂而严重,伤残率和病死率较高.全面详细的检查、正确的诊断和及时有效的治疗和处理,弄清颅脑损伤和胸部损伤的关系,积极防治成人呼吸窘迫综合征(ARDS)及肺部感染等并发症,是提高抢救成功率的关键.
목적 탐토중형로뇌손상합병엄중흉손상적진단화치료.방법 대32례중형로뇌손상합병엄중흉손상적림상자료진행분석.결과 GOS예후평분:회복량호14례,중잔9례,중잔3례,식물생존2례,사망4례.결론 중형로뇌손상합병엄중흉손상기상정복잡이엄중,상잔솔화병사솔교고.전면상세적검사、정학적진단화급시유효적치료화처리,롱청로뇌손상화흉부손상적관계,적겁방치성인호흡군박종합정(ARDS)급폐부감염등병발증,시제고창구성공솔적관건.
Objective To investigate the diagnosis and treatment of severe craniocerebral trauma with severe chest trauma. Methods The clinical data of 32 cases of severe craniocerebral trauma with severe chest trauma were analysed.Results According to GOS :good recovery 14 cases;residues 9 cases;severely disabled 3 cases;plant survival 2 cases;death 4 cases.Conclusion The severe craniocerebral trauma with severe chest trauma is a complex and serious injury and the disability and mortality rates is high. Making a full review in the diagnosis and treatment, correctly handling the relationship of craniocerebral trauma and chest trauma, controling ARDS and complications such as pulmonary infection was required in the process and the success rate of rescue could be improved.