40例重症颅脑损伤的治疗体会  

Experience in the treatment of 40 patients with severe craniocerebral injury

作　　者：覃木秀[1] 欧海荣[1] 

机构地区：[1]吴川市人民医院,525400

出　　处：《国际医药卫生导报》2010年第20期2498-2500,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨重症颅脑损伤的救治措施及体会.方法 对2009年1月-2010年1月间在我院治疗的重症颅脑损伤患者40采取系统全面的救治措施,总结治疗体会.结果 经给予系统的病情评估、病灶清除、去骨瓣减压及系统全面的围手术期的综合治疗措施,本组患者38例治愈出院,死亡2例,死亡率为5.00%,死亡原因均系脑疝形成,脑干延髓功能衰竭.存活患者经3个月～1年随访,按GOS疗效判定标准本组恢复良好20例、中残9例、重残8例、植物生存1例.结论 重型颅脑损伤患者病情危重多变,准确的病情评估、合理的手术方式及全面系统的综合治疗措施有利于提高患者的治愈率并改善预后.Objective To explore the treatment measures of and experiences in 40 patients with severe craniocerebral injury. Methods 40 patients with severe craniocerebral injury hospitalized from January 2009 to January 2010 received comprehensive management. Results After assessment of disease course, lesion clearance, decompressive craniectomy, and comprehensive perioperative management, 38patients were cured and relieved from hospital; two （5.00%） were dead. The causes of death were cerebral herniation and failure of brainstem medullary function. The survivors were followed up for 3 to 12 months and there were 20 patients with good recovery, 9 with moderate disability, 8 with severe disability, and one in a vegetative state. Conclusions For the patients with severe craniocerebral injury, accurate assessment of disease course, reasonable surgical approach, and comprehensive management are helpful in increasing the cure rate and improving the and the prognosis.

关 键 词：重型颅脑损伤 评估 预后 

分 类 号：R651.15[医药卫生—外科学]