45例GCS 3分特重型颅脑伤病人临床救治经验  

Clinical experience of treating 45 cases with the most severe head injury of GCS 3

作　　者：江基尧[1] 龙连圣[1] 刘兵[1] 高国一[1] 于明琨[1] 朱诚[1] 

机构地区：[1]第二军医大学长征医院神经外科,上海市神经外科研究所,上海200003

出　　处：《中华神经医学杂志》2002年第1期22-23,17,共3页Chinese Journal of Neuromedicine

摘　　要：目的总结我科GCS 3分特重型颅脑伤病人的临床救治经验。方法对我科1995年1月~ 2001年1月收治的45例GCS 3分特重型颅脑伤病人进行回顾性总结。结果45例病人存活22例(48.9%)。其中恢复良好和中残10例(22.2%)、重残9例(20.0%)、植物生存3例(6.7%);另23例死亡(51.1%)。结论尽早清除颅内血肿、大骨瓣减压、早期亚低温治疗、呼吸机辅助呼吸、维持内环境稳定及防治并发症等措施,可显著改善GCS3分特重型颅脑伤病人的预后。Objective To summarize the therapeutic experience of 45 treating patients traumatic head injuries of GCS 3. Methods45 most severe head injured patients with GCS 3 admitted to our department from Jan. 1995 to Jan. 2001 were retrospectively analyzed. Results22 cases (48.9%) survived, 10 of whichgot satisfactorily recovered or suffered from moderate disability(22.2%), 9 from severe deficits (20.0%), 3 from persistent vegetative state (6.7%) and the other 23 died (51.1%) after therapy. Conclu sion The prognosis of most severe head injured patients with GCS 3 can be improved by early intracranial hematoma removal with large decompressive cranietomies, early moderate hypothermia therapy, early assistant ventilation and effective prevention & treatment of complications.

关 键 词：GCS3分 特重型颅脑伤 治疗 预后 

分 类 号：R651.15[医药卫生—外科学]