早期气管切开救治重症颅脑损伤患者的临床分析  

The clinical significance of tracheotomy at early stage in treating severe head trauma

作　　者：李华建[1] 于新华[1] 王春芝[1] 李再松[1] 包敬玺[1] 杨文辰[1] 王晓华[1] 王伟峰[1] 

机构地区：[1]青岛大学医学院附属医院海阳分院神经外科,山东海阳265100

出　　处：《中国医学工程》2010年第2期124-124,126,共2页China Medical Engineering

摘　　要：目的探讨早期气管切开对救治重症颅脑损伤的临床意义。方法回顾性分析入院后和手术后共67例有适应症的病人早期施行气管切开术的临床效果。结果 67例重症颅脑损伤患者出院时按GCS分级评定:良好23例(40.3%),中残6例(10.5%),重残5例(8.8%),植物生存3例(5.3%),死亡20例(35.1%)。结论对重型颅脑损伤患者早期常规采用气管切开,保持呼吸道通畅,改善其呼吸功能,改善脑缺氧,减轻脑水肿,能降低患者致残率及死亡率。【Objective】Severe head trauma include a series grave damages to the brain,and the treatment of such diseases is a hot as well as nodus spot in current neurosurgery,tracheotomy at early stage is very important in lives saving.【Methods】67 cases of severe head trauma patients with the indications were received tracheotomy at early stage.【Results】Tracheotomy at early stage to patients with severe head trauma was propitious to amend anoxemia,reduce hydrocephalus,and therefore decrease the mortality and deformity.【Conclusions】

关 键 词：重型颅脑损伤 气管切开 脑水肿 血氧饱和度 

分 类 号：R651.15[医药卫生—外科学]