特重型颅脑损伤临床分析  

Analysis of The Most Serious Craniocerebral Trauma

作　　者：李明轩[1] 梁红霞[2] 何承[1] 李瑞峰[1] 马建功[1] 

机构地区：[1]河南大学第一附属医院神经外科,开封市475000 [2]河南大学临床医学院护理学院,开封市475000

出　　处：《医药论坛杂志》2007年第20期10-11,共2页Journal of Medical Forum

摘　　要：目的总结172例GCS3份特重型颅脑损伤患者的救治经验。方法对我科10年中收治的GCS3份特重型颅脑损伤患者进行回顾性分析。结果172例中存活82例,其中21例恢复良好,25例中残,重残31例,5例植物生存,死亡90例。结论尽早清除血肿,标准外伤性大骨瓣减压,早期亚低温治疗,呼吸及辅助呼吸,维持内环境稳定,防治并发症等综合治疗措施,有助于改善GCS3分特重型颅脑损伤患者的预后。Objective To sum up the experiment of treating 172 cases with the most serious craniocerebral trauma which is 3degree in GCS. Methods We retrospectively analyzed the patients with criniocerebral trauma which is 3 degree in GCS in recent 10 years in our department. Results Total 82 patients are alive in 172 cases, 21 patients recover well, the serious disable patients 31 cases, the middle disable patients 25 cases, the vegetary survivals 5 cases and the death 90 cases. 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 cranietomies, early moderate hypothermia therapy, early assistent ventilation and effective prevention and treatment of complications.

关 键 词：GCS3分 特重型颅脑损伤 治疗 预后 

分 类 号：R651.1[医药卫生—外科学]