78例重型颅脑损伤救治的临床分析  

Management for 78 Cases with Severe Craniocerebral Injury

作　　者：程彪[1] 郑志新[1] 方宪清[1] 吕爱宾[1] 胡英明[1] 程科[1] 

机构地区：[1]安徽省黄山市人民医院脑外科,245000

出　　处：《实用全科医学》2006年第4期439-440,共2页Applied Journal Of General Practice

摘　　要：目的总结78例重型颅脑损伤患者的救治体会。方法对78例G·C·S评分<8分的重型颅脑损伤患者,对其治疗方法及治疗结果进行回顾性总结和分析。结果78例患者按G·C·S评分恢复良好44例(56.4%),轻、中残8例(10.3%),重残5例(6.4%),植物生存2例(2.6%),死亡19例(24.3%)。结论争取时间,早期诊断,积极的手术治疗,给予脑组织充分的氧供,防止各种并发症的发生,尽量减少继发性的脑损伤,是提高重型颅脑损伤病人生存率及生存质量的关键。Objective To summarize the management experience for patients with severe craniocerebral injury. Methods The clinical date of 78 cases with severe craniocerebral injury （G· C· S score〈 8）was analyzed retrospectively. Results In all of 78 cases, 44 cases were with good revcovery（56.4% ）, 8 cases with low or moderate grade disability（ 10.3% ）, 5 cases with severe disability（6.4% ）, 2 cases were in suspended animation, and 19 cases died. Conclusions The key means to improve the survival rate and the quality of life of patients with severe craniocerebral injury am early diagnosis, actively operational decompreprssion, sufficient supply of oxygen for brain tissue, preventing and controlling complication, and reduce the secondary brain damage.

关 键 词：重型颅脑损伤 治疗 

分 类 号：R651.15[医药卫生—外科学]