腹腔脏器破裂失血性休克合并颅脑损伤的临床诊治  

Clinical Diagnosis and Treatment of Abdominal Ruptured Hemorrhagic Shock with Craniocerebral Trauma

作　　者：陈雷 李跃继 CHEN Lei;LI Yue-ji(The People's Hospital of Yanqi Hui Autonomous County(Aid to Xinjiang Hospital),Yanqi 841100,Xinjiang,China)

机构地区：[1]新疆焉耆回族自治县人民医院(援疆医院),新疆焉耆841100

出　　处：《医学信息（医学与计算机应用）》2014年第22期470-470,共1页Medical Information

摘　　要：目的:探讨腹腔脏器破裂失血性休克合并颅脑损伤的临床诊治经验。方法对35例腹腔脏器破裂失血性休克合并颅脑损伤的患者进行急诊抢救、腹腔探查、腹部及开颅手术等治疗措施。结果35例患者经治疗痊愈28例,治愈率80%。其余7例恢复生活自理能力,但仍存在一些神经精神障碍。治疗后患者GCS明显高于治疗前。结论腹腔脏器破裂失血性休克合并颅脑损伤是外科临床最为严重的复合型损伤之一,病情凶险,进展快,易导致严重后果。尽早明确诊断和及时的正确治疗对于患者预后具有非常重要的意义。Objective To investigate the diagnosis and treatment of abdominal ruptured hemorrhagic shock with craniocerebral trauma.Methods 35 patients with abdominal ruptured hemorrhagic shock with craniocerebral trauma were chosen and treated by emergency treatment,abdominal exploration and abdominal and craniotomy surgery.Results 28 patients were recovered with 80%recovery rate in 35 cases.Other 7 patients were in convalescence with daily living capacities and some neuropsychiatric disorders.After treatment,GCS was significantly higher than before.Conclusion Abdominal ruptured hemorrhagic shock with craniocerebral trauma was one of the most severe complex traumas in clinic.It was dangerous,fast progressed and easily leading to serious consequences.Af irmative diagnosis and timely accurate treatment as soon as possible would be significant for the prognosis to patients.

关 键 词：腹腔脏器破裂 失血性休克 颅脑损伤 复合型损伤 腹腔探查 

分 类 号：R6[医药卫生—外科学]