中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
15期
121-122
,共2页
田登攀%岳景齐%陈益民%孙海鹰%钟志坚
田登攀%嶽景齊%陳益民%孫海鷹%鐘誌堅
전등반%악경제%진익민%손해응%종지견
脑心综合征%颅脑损伤%手术治疗%指导意义
腦心綜閤徵%顱腦損傷%手術治療%指導意義
뇌심종합정%로뇌손상%수술치료%지도의의
Cerebrocardiac syndrome%Traumatic brain injury%Surgical treatment%Guidance value
目的:探讨脑心综合征对颅脑损伤患者手术治疗的指导意义.方法:将颅脑损伤患者分为A、B两组,A组为出现脑心综合征而临床表现无明显加重的38例,B组为未出现脑心综合征但临床表现加重的40例,比较两组患者的治疗效果.结果:A、B两组患者手术率比较差异无统计学意义,A组患者死亡率、重残率明显高于B组.结论:脑心综合征的出现与CT表现的加重呈平行正相关关系,结合脑心综合征较单纯依靠临床表现来决定患者复查CT及选择手术的时机,能更好地提高颅脑损伤患者的救治率及改善预后.
目的:探討腦心綜閤徵對顱腦損傷患者手術治療的指導意義.方法:將顱腦損傷患者分為A、B兩組,A組為齣現腦心綜閤徵而臨床錶現無明顯加重的38例,B組為未齣現腦心綜閤徵但臨床錶現加重的40例,比較兩組患者的治療效果.結果:A、B兩組患者手術率比較差異無統計學意義,A組患者死亡率、重殘率明顯高于B組.結論:腦心綜閤徵的齣現與CT錶現的加重呈平行正相關關繫,結閤腦心綜閤徵較單純依靠臨床錶現來決定患者複查CT及選擇手術的時機,能更好地提高顱腦損傷患者的救治率及改善預後.
목적:탐토뇌심종합정대로뇌손상환자수술치료적지도의의.방법:장로뇌손상환자분위A、B량조,A조위출현뇌심종합정이림상표현무명현가중적38례,B조위미출현뇌심종합정단림상표현가중적40례,비교량조환자적치료효과.결과:A、B량조환자수술솔비교차이무통계학의의,A조환자사망솔、중잔솔명현고우B조.결론:뇌심종합정적출현여CT표현적가중정평행정상관관계,결합뇌심종합정교단순의고림상표현래결정환자복사CT급선택수술적시궤,능경호지제고로뇌손상환자적구치솔급개선예후.
Objective:To investigate cerebrocardiac syndrome guiding significance for the surgical treatment of traumatic brain injury patients. Method:The brain injury patients were divided into group A and B. Group A concluded 38 patients with a cerebrocardiac syndrome,while no significant worsening of clinical symptoms. Group B concluded 40 patients who did not appear brain-heart syndrome,but clinical symptoms had aggravated. The therapeutic effect of the two groups was compared. Result:The rate between two groups received surgery was not statistically different,but the mortality and morbidity of group A was significantly lower than that of the B group. Conclusion:There is a positive correlation between the occurrence of cerebrocardiact syndrome and deterioration of CT changes. The timing for CT scan or surgery should be based on not only clinical manifestations but also the occurrence of brain-heart syndrome,which can reduce mortality and morbidity,and improve prognosis of the patients with TBI.