特重型颅脑损伤病人救治体会  

The therapeutic experience of patients with most severe head injury

作　　者：高良通 张新[1] 熊荣华[1] 吴庆鸣[1] 

机构地区：[1]仁寿县人民医院神经外科,四川仁寿612560

出　　处：《健康大视野（医学版）》2005年第9期10-11,共2页Health Horizon:Medical Science Fascicule

摘　　要：目的 总结21例GCS3分特重型颅伤病人的救治经验。方法 对我科2002年1月至2004年3月收治的GCS3分特重型颅脑伤病人进行回顾性总结。结果 21例GCS3分特重型颅脑伤存活9例（43％），其中恢复良好和中残5例（23％），重残4例（19％），死亡12例（57％）。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 21 patients of traumatic head injuries with a score of 3 on GCS. Methods 21 most severe head injuried patients with a score of 3 on GCS who admitted to our department from Jan 2002 to July 2004 were analyzed retrospectively. Results 9 cases （42%） survived in which 5 cases（23%） had a good recovery or moderate disability, and other 4 cases with severe deficits （19%）. The other 12 dead （57%） after therapy. Conclusion The prognosis of most severe head injured patients with a score of 3 on GCS could be improved by early evacuation of intracranial hematoma with large decompressive craniotomies, early moderate hypothermia therapy, early assistant ventilation and effective prevention and 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]