临床神经外科杂志
臨床神經外科雜誌
림상신경외과잡지
JOURNAL OF CLINICAL NEUROSURGERY
2014年
4期
305-307
,共3页
李煜环%翟卫东%袁俊%王涛%钟建卫
李煜環%翟衛東%袁俊%王濤%鐘建衛
리욱배%적위동%원준%왕도%종건위
重型颅脑损伤%多发伤%救治
重型顱腦損傷%多髮傷%救治
중형로뇌손상%다발상%구치
severe traumatic brain injury%multiple injury%treatment
目的:探讨重型颅脑损伤合并多发伤的临床救治经验。方法选取我科收治的207例重型颅脑创伤合并多发伤患者,回顾性分析其临床资料以及治疗方法,总结重型颅脑创伤合并多发伤的治疗经验以及疗效。结果预后按格拉斯哥结果评分法(GOS评分),恢复良好70例(33.8%),轻残42例(20.2%),重残29例(14%),植物生存10例(4.8%),死亡56例(27.2%)。结论早期诊断,尽早判断伤情,合理把握抢救顺序,及时抢救危及生命的器官损伤,重视术后的综合治疗,则可提高颅脑损伤合并多发伤抢救成功率,减少伤残率和病死率。
目的:探討重型顱腦損傷閤併多髮傷的臨床救治經驗。方法選取我科收治的207例重型顱腦創傷閤併多髮傷患者,迴顧性分析其臨床資料以及治療方法,總結重型顱腦創傷閤併多髮傷的治療經驗以及療效。結果預後按格拉斯哥結果評分法(GOS評分),恢複良好70例(33.8%),輕殘42例(20.2%),重殘29例(14%),植物生存10例(4.8%),死亡56例(27.2%)。結論早期診斷,儘早判斷傷情,閤理把握搶救順序,及時搶救危及生命的器官損傷,重視術後的綜閤治療,則可提高顱腦損傷閤併多髮傷搶救成功率,減少傷殘率和病死率。
목적:탐토중형로뇌손상합병다발상적림상구치경험。방법선취아과수치적207례중형로뇌창상합병다발상환자,회고성분석기림상자료이급치료방법,총결중형로뇌창상합병다발상적치료경험이급료효。결과예후안격랍사가결과평분법(GOS평분),회복량호70례(33.8%),경잔42례(20.2%),중잔29례(14%),식물생존10례(4.8%),사망56례(27.2%)。결론조기진단,진조판단상정,합리파악창구순서,급시창구위급생명적기관손상,중시술후적종합치료,칙가제고로뇌손상합병다발상창구성공솔,감소상잔솔화병사솔。
Objective To discuss the therapeutic methods and experience in severe traumatic brain injury complicated with multiple injuries .Methods The clinical data of 207 patients with severe traumatic brain injury complicated with multiple injuries treated in our department were analyzed retrospectively .Experience and curative effects of severe traumatic brain injury with multiple injuries were summarized .Results According to GOS scores ,70 (33.8%) patients got good recovery after the treatment ,42 (20.2%) moderate disability,29 (14%) severe disability,10 (4.8%) vegetative survival and 56 (27.2%) died.Conclusions Early diagnosis, early injury to determine a reasonable grasp the rescue sequence , in time to save a life-threatening organ damage , attach importance to the comprehensive treatment of postoperative , traumatic brain injury can improve the success rate of resuscitation combined with multiple injuries , reduce disability and mortality .