论文部分内容阅读
[目的]探讨重型颅脑损伤及其合并伤患者的临床救治经验。[方法]回顾性分析670例重型颅脑损伤及其合并伤患者的致命原因、临床特征、诊断方法、抢救措施及预后状况。[结果]本组疗效评定:良好182例,中残118例,重残82例,植物生存20例,死亡268例,死亡率40%。[结论]早期确诊是颅脑损伤及其合并伤救治成功的关键,应对患者进行全面检查,遵循优先处理致命伤的原则,注意多科协同配合抢救,重点处理急性脑受压与颅内外出血。
[Objective] To explore the clinical experience of severe craniocerebral injury and its combined injury. [Methods] The causes, clinical features, diagnostic methods, rescue measures and prognosis of 670 patients with severe craniocerebral injury and their combined injuries were retrospectively analyzed. [Results] The curative effect was evaluated in 182 cases, 118 cases of moderate disability, 82 cases of severe disability, 20 cases of plant survival, 268 cases of death and the mortality rate of 40%. [Conclusion] The early diagnosis is the key to the success of craniocerebral injury and its combined injury treatment. The patients should be examined comprehensively and follow the principle of giving priority to fatal wounds. Attention should be paid to the coordination of multidisciplinary cooperation and rescue, with emphasis on acute cerebral pressure and intracranial hemorrhage.