78例外伤后急性脑肿胀的临床分析  

78 cases of traumatic brain swelling after acute clinical analysis

作　　者：熊斌 陈跃平 虎志涛 

机构地区：[1]云南省大理州人民医院神经外科,云南大理671000

出　　处：《中国中医药咨讯》2011年第8期40-40,42,共2页

摘　　要：目的：探讨外伤后急性脑肿胀的临床特点及救治措施。方法：选取我院2007年7月～2009年10月收治的78例急性脑肿胀患者的临床资料，分析患者的临床特点及综合治疗的疗效。结果：外伤性脑肿胀患者的病死率高，要积极采取有效的救治措施，在本组中，恢复生活自理38例，占48．72％，中度残疾20例，占25．64％，重度残疾13例，占16．67％，植物生存4例，占5．13％，死亡3例，占3．85％。结论：外伤性脑肿胀危险性高，主要的确诊手段是及时进行CT检查，选择恰当的治疗措施，早期手术和减低颅内压，可有效降低患者的致残率和死亡率以提高患者的生活质量。Objective： To investigate the acute brain swelling after trauma the clinical characteristics and treatment measures. Methods： The hospital in July 2007 -October 2009 78 patients with acute brain swelling in patients with clinical data of patients with clinical features and efficacy of combined therapy. Results： Traumatic brain swelling in patients with high mortality, treatment should actively take effective measures in this group, 38 cases of self-care recovery, accounting for 48.72%, moderate disability in 20 cases, accounting for 25.64%, 13 cases of severe disability, 16.67%, 4 cases of plant survival, accounting for 5.13%, 3 patients died, accounting for 3.85%. Conclusion： Traumatic brain swelling high-risk, confirmed the main means of CT examination in a timely manner, choose the appropriate treatment, early operation and reduce intracranial pres- sure, can effectively reduce the morbidity and mortality in patients to improve the lives of patients quality.

关 键 词：脑肿胀 外伤性 治疗 临床疗效 

分 类 号：R651.15[医药卫生—外科学]