重型颅脑损伤合并胸、腹伤的救治体会  

Clinical experience of treating severe head injury with thoracic or abdominal injury

作　　者：李旭[1] 潘锋[1] 李娜[1] 赵晓利[1] 

机构地区：[1]山东省郯城县第一人民医院脑外科,276100

出　　处：《中华神经医学杂志》2005年第7期724-725,共2页Chinese Journal of Neuromedicine

摘　　要：目的总结重型颅脑损伤合并胸、腹伤的救治与护理经验,提高治疗效果,降低死亡率。方法我院自1994年10月至2004年10月收治367例重型颅脑损伤合并胸、腹伤病人,其中合并胸外伤201例,合并腹外伤105例,合并胸腹伤61例。结果本组病人367例,治愈319例,死亡48例,死亡率13.1%。结论快速准确诊断是病人生存的关键;手术要分轻重缓急;正确的综合治疗与护理是救治的重要环节。Objective To sum up clinical experience of severe hea d injury complicated by thoracic or abdominal injury in order to improve therape utic effect and reduce death rate. Methods From October 1994 to October 20 04, 367 patients with severe head injury complicated by thoracic or abdominal in jury were treated in our hospital, among which 201 patients with thoracic injury , 105 with abdominal injury, 61 with thoracic and abdominal injury. Results In the 367 cases, 319 patients were cured and 48 died (13.1%). Conclusion Timely and correct diagnosis is the key to rescue the patients and the operati on time depends on the injury severity. Meanwhile, correct and integrated treatm ent and nursing is also an important link to cure the patients.

关 键 词：颅脑损伤 胸部损伤 腹部损伤 

分 类 号：R641[医药卫生—外科学]