CAJ | 학술논문

目的总结高原重型颅脑损伤患者的伤情特点与手术、治疗经验。方法回顾性分析我院2002年1月以来收治46例重型颅脑损伤患者的临床资料，包括伤情特点、治疗特点、手术方式及预后等。结果恢复良好24例，轻度残疾16例，重度残疾3例，死亡3例。结论高原重型颅脑损伤有不同于平原地区的特点，高原缺氧是影响其救治与预后的关键。分秒必争的早期手术、充分有效的给氧与抗高原脑水肿治疗是影响康复的重要因素。
목적총결고원중형로뇌손상환자적상정특점여수술、치료경험。방법회고성분석아원2002년1월이래수치46례중형로뇌손상환자적림상자료，포괄상정특점、치료특점、수술방식급예후등。결과회복량호24례，경도잔질16례，중도잔질3례，사망3례。결론고원중형로뇌손상유불동우평원지구적특점，고원결양시영향기구치여예후적관건。분초필쟁적조기수술、충분유효적급양여항고원뇌수종치료시영향강복적중요인소。
Objective To summarize the trauma features, surgery and treatment. Methods A retrospective analysis was made to the clinical data of 46 cases of severe craniocerebral trauma since 2002. Results 24 cases had good recovery, 16 cases got slight disability, 3 cases got severe disability and 3 cases died. Conclusions Severe craniocerebral trauma at high altitude is featured differently from that at plain and high-altitude anoxia is the key factor which determines the curative effect and prognosis;early operation, sufficient oxygen in-halation and anti-cerebral edema therapy are important for effective treatment and good recovery.