204例重型脑伤的救治分析  

MEDICAL TREATMENT ANALYSIS OF SEVERE HEAD INJURY.

作　　者：邓发斌[1] 徐荣华[1] 何滔[1] 刘耀辉[1] 饶中和[1] 

机构地区：[1]四川成都市第六人民医院,成都610051

出　　处：《现代预防医学》2005年第10期1351-1351,1358,共2页Modern Preventive Medicine

摘　　要：目的:探讨重型脑伤有效救治手段。方法:回顾分析204例重型颅脑损伤的临床资料,治疗方法:开颅手术,剖腹探察,气管切开。结果:受伤原因中交通事故伤140例(68.6%),坠落伤28例(13.7%),打击伤及其他占36例(17.7%),格拉斯哥记分(GCS)越低,死亡率越高,脑中线移位程度与死亡率高低呈正相关。结论:适当手术时机的选择及术后综合治疗,复合伤的及时治疗,能明显提高救治成功率,减少并发症的发生。Objective： To explore efficient medical treatment from the clinical materials of severe head injury. Method： 204 cases of severe head injury were reviewed.The treatment were： head operation, abdomen operation, air way operation. Result： When grade of GCS was lower, the mortality was lfigher. At the stone time. There was a positive correlation between brain mid-line displacement extent with mortality. Conclusion： If the time for operation is chosen exactly, the comprehensive treatment after operation is given properly and the multiple injury is treated in time, the proportion of success will be sharply increased and the complication will be less.

关 键 词：脑损伤 重型 救治 

分 类 号：R651.1[医药卫生—外科学]