高海拔地区小儿重型颅脑损伤105例诊治体会  

Diagnosis and Therapy of Severe Brain Injury in Children at High Altitude

作　　者：阿晓军[1] 马越[1] 李秀娟[1] 

机构地区：[1]青海省人民医院神经外科,810007

出　　处：《高原医学杂志》2004年第3期37-39,共3页Journal of High Altitude Medicine

摘　　要：目的 :探讨高海拔地区小儿重型颅脑损伤的诊治预后。方法 :回顾性分析我院自 1994年8月至 2 0 0 3年 8月收治的 10 5例小儿重型颅脑损伤 (GCS≤ 8分 )的临床资料。结果 :手术治疗 70例 ,非手术治疗 35例。死亡 2 3例 (2 1.9% ) ,存活 82例 (78.1% )。随访 8个月至 4年 ,4 9例恢复正常 ,2 9例CT提示脑软化灶 ,4例继发外伤性癫痫。结论 :小儿重型颅脑损伤应尽早确诊 ,选择及时、有效的治疗方案 ,是降低死亡率和提高生存质量的关键。Objective: To explore the way of diagnosis and therapy of severe brain injury in children at high altitude. Method: Data of 105 cases with severe brain injury in our hospital from Aug. 1994 to Aug. 2003 were reviewed.Results: 61 of 105 cases had the intracranial hematoma and 5 had intraventricular hemorrhage (60%). 70 cases finished the surgery therapy, 35 cases non-operation. 82 cases were still survival. The dead rate was 21.9%.Conclusion: It is importance that early diagnosis and treatment are performed in available time for the children severe brain injury; and an efficiency therapeutic plan is need to decrease the dead at high altitude.

关 键 词：高海拔 小儿 重型颅脑损伤 

分 类 号：R726.5[医药卫生—儿科]