328例重型颅脑损伤及其复合伤临床分析  

The clinical analysis of 328 patients with serious head injure and its Complicated injure

作　　者：陈伟平[1] 龚洪桂[1] 陈劲飞[1] 邹普汉[1] 陈远辉[1] 

机构地区：[1]博罗县人民医院外二科,广东博罗516100

出　　处：《健康大视野（医学版）》2006年第6期12-13,共2页Health Horizon:Medical Science Fascicule

摘　　要：目的探讨重型颅脑损伤及其复合伤患者的临床救治经验。方法回顾性分析328例重型颅脑损伤患者的致伤原因、临床特征、诊断方法、抢救措施及顸后状况。结果328例患者中恢复良好187例（57．01％），中残23例（7．01％），重残10例（3．05％），植物生存状态5例（1．52％），死亡103例（31．40％）。结论在处理重型颅脑外伤时，应仔细检查全身的每一个部位，决定手术时，应优先处理致命伤的原则，注意多科配合抢救，防治并发症。Objective To investigate the clinical treatment experience in patients with severe craniocerebral injure and its complicated injure. Methods The cause of injury, clinical characteristics, diagnosis methods, rescue measure and prognosis in 328 patients were retrospectively analyzed and summarized. Results In 328 patients, 187 patients （57.01% ） were good- recovery, 23 patients（7.01% ） were moderatedeficit, 10 patients （3.05 % ） were severe - deficit, 5 patients （ 1.52 % ） were persistent vegetative status, and 103 patients （31.40 % ） died.Conclusions When we deal with the serious head injure, we should examine every part of the body. After, when we determined to do the surgical operation, we should deal with the causing death injure at first. At third,let several related departments rescue the patients together. At last, the prevention and cure the complication must be done.

关 键 词：重型颅脑损伤 复合伤 外科手术 治疗学 

分 类 号：R651.15[医药卫生—外科学]