高压氧治疗重型颅脑损伤疗效评价  

Assessment of Effectiveness of High Pressure Oxygen in Seveve Craniocerebral Injury

作　　者：赵建伟[1] 薛建芬[1] 孙胜平[1] 

机构地区：[1]山西省人民医院,山西太原030012

出　　处：《山西职工医学院学报》2005年第4期16-17,共2页Journal of Shanxi Medical College for Continuing Education

摘　　要：目的:探讨高压氧治疗重型颅脑损伤的疗效。方法:回顾分析1998年至2004年收治的200例重型颅脑损伤的患者,其中原发性脑干损伤30例,重度脑挫裂伤38例,中度脑挫裂伤18例,颅内血肿98例,弥漫性轴索损伤16例。单纯血肿清除46例,血肿清除加去骨瓣减压62例,脑挫裂伤组织清除加去骨瓣减压48例,保守44例。均配合高压氧治疗。结果:200例均配合高压氧治疗,治愈85例(42.5%),显效66例(33%),有效36例(18%),无效13例(6.5%)。结论:对重型颅脑损伤,除必要的外科手术外,配合高压氧治疗是创伤救治极为有效的手段之一,可提高救治率及生存质量。Objective：To explore the effectiveness of high pressure oxygen in the treatment of severe craniocerebral injury. Methods：A retrospective analysis was made of 200 patients with severe craniocerebral injury admitted into our hospital between 1998 and 2004. Of these patients, 30 had primary brain-stem injury, 38 severe cerebral contusion, 18 moderate cerebral contusion,98 intracranial hematoma, and 16 diffuse axonal injury. 46 received simple clearance of hematoma, 62 clearance of hematoma plus removal of bone flaps to achieve decompression, 48 clearance of tissues of cerebral contusion combined with removal of bone flaps to achieve decompression, and 44 conservative treatment. All of the patients also received high pressure oxygen. Results： 85 patients （42.5 % ） showed successful treatment, 66 （33 % ） excellent results, 36 （ 18 % ） effective result, and 13 （6.5 % ） no improvement. Conclusion： Necessary surgery in combination with high pressure oxygen is one of effective ways to treat severe craniocerebral injury, and may help to improve medical aid and patients＇ life quality.

关 键 词：高压氧 重型颅脑损伤 生存质量 去骨瓣减压 

分 类 号：R651.1[医药卫生—外科学]