CAJ | 학술논문

目的探讨重型颅脑损伤患者行气管切开术的意义、适应证及并发症.方法回顾性分析42例重型颅脑损伤气管切开患者的临床资料.结果治愈20例(48%),好转12例(29%),自动出院3例(7%),植物生存1例(2%),死亡6例(14%).结论在重型颅脑损伤治疗中应早期行气管切开术,以解除呼吸道梗阻,改善呼吸功能,防止脑缺氧加重及肺部感染.
목적 탐토중형로뇌손상환자행기관절개술적의의、괄응증급병발증.방법 회고성분석42례중형로뇌손상기관절개환자적림상자료.결과 치유20례(48%),호전12례(29%),자동출원3례(7%),식물생존1례(2%),사망6례(14%).결론 재중형로뇌손상치료중응조기행기관절개술,이해제호흡도경조,개선호흡공능,방지뇌결양가중급폐부감염.
Objective To explore the significance, indicatinos and complications of emergency tracheotomy for patients with severe craniocerbral trauma. Methods The clinical data of 42 patients with severe craniocerbral trauma were retrospectively analyzed. Results Of them, 20 were basically cured (48%), 12 had improvement (29%) ,3 were released from the hospital(7 % ), 1 survived(2 % ) in a vegetative state,and 6 died(14%). Conclu- sion Emergent tracheotomy should be performed on patients with severe craniocerbral trauma to resolve respiratory tract obstruction, improve air current, prevent cerebral anoxia, prevent and treat pulmonary infection, increase the therapeutic efficacy.