重型颅脑损伤合并失血性休克的救治  

Remedy of severe head injury combined with hemorrhagic shock

作　　者：赵峰[1] 吴广宇[1] 徐洪波[1] 方军[1] 吴作珠[1] 

机构地区：[1]温州医学院附属第一医院创伤科,325000

出　　处：《中国医师进修杂志》2007年第7期4-6,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨重型颅脑损伤合并失血性休克的早期诊断和治疗。方法回顾性分析68例颅脑损伤合并失血性休克病例的临床资料。结果恢复良好33．8％，中残11．8％，重残17．6％，植物生存状态8．8％；死亡19例，占27．9％。死亡原因：脑干呼吸循环功能衰竭7例，脑疝合并严重失血性休克4例，失血性休克后DIC3例，术后非中枢性呼吸衰竭2例，长期昏迷多脏器功能衰竭3例。结论颅脑损伤合并失血性休克损伤病情重笃复杂，及早明确诊断、及时明确损伤的主次部位、正确把握手术时机、合理治疗是成功救治的关键。Objective To investigate the early diagnosis and treatment of severe head injury combined with hemorrhagic shock. Method Sixty-eight cases of severe head injury combined with hemorrhagic shock were analyzed retrospectively. Results There were 33.8% of cases with good outcomes, 11.8% with moderate disability, 17.6% with severe disability,8.8% with vegetative state, and 27.9% （19 cases） died. The cause of death：7 cases of functional failure of brain stem, 4 cases of brain hernia with hemorrhagic shock, 3 cases of DIC, 2 cases of respiratory failure, 3 cases of MOSF. Conclusion The outcomes of the severe head injury combined with hemorrhagic shock should be improved if the early diagnosis and treatment strategies were succeed.

关 键 词：重型颅脑损伤 失血性休克 

分 类 号：R651[医药卫生—外科学]