重型颅脑损伤合并伤的救治与死亡分析  

Management strategies and death in severe brain trauma patients with associated injuries

作　　者：王勉[1] 高金华[1] 吴高远 钱洪波[1] 殷俊[1] 昂怀清 张春桦 张倩[1] 

机构地区：[1]安庆市第一人民医院神经外科,安徽安庆246000

出　　处：《皖南医学院学报》2009年第1期39-41,共3页Journal of Wannan Medical College

摘　　要：目的:探讨重型颅脑损伤合并伤的救治策略与预后的影响因素。方法:对120例重型颅脑损伤合并伤的死亡率进行单因素χ2分析和多因素Logistic回归分析。结果:Lo-gistic回归分析证实重型颅脑损伤合并颈椎伤、胸部损伤、多发伤、休克的病死率高,P<0.05。结论:颈椎伤、胸部损伤、多发伤、休克是影响重型颅脑损伤预后的重要因素,必要的影像学检查,颈椎损伤及早颈部制动,积极抗休克治疗,尽早手术控制胸腹腔内出血是降低重型颅脑损伤合并伤病死率的关键。Objective： To investigate the management strategies and prognostic factors in patients of severe brain trauma with associated injuries Methods：χ^2 single factor and logsitic regression analysis were conducted on 120 patients of severe brain trauma with associated injuries. Results ：The logsitic regression analysis showed that severe brain trauma combined with cervical vertebrae and chest injury, compound injuries and shock could result in a higher death rate（ P 〈0.05）. Conclusion ： Cervical and chest injury, compound injuries and shock may bring significant effect on the prognostic factors. Therefore, the death rate can be reduced by the involved measures such as indispensable imaging confirmation, neck fixation anti-shock and immediate surgical intervention of splanchnocoele hemorrhage.

关 键 词：重型颅脑损伤 合并伤 病死率 

分 类 号：R651.15[医药卫生—外科学]