重型颅脑损伤132例急诊治疗分析  

Clinical analysis of emergency treatment of 132 patients with severe craniocerebral injury

作　　者：周文柱[1] 

机构地区：[1]中日友好医院急诊科,北京市100027

出　　处：《中国基层医药》2011年第12期1631-1632,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨重型颅脑创伤的临床特点与急诊策略.方法 回顾性分析132例重型颅脑损伤患者的临床资料.结果 132例重型颅脑创伤患者,其中手术治疗85例,非手术治疗47例.按GCS评分,出院时恢复良好101例占76.4% 死亡9例,占7.2% 伤残22例,占16.4%.结论 重型颅脑创伤必须强调早期的有效急诊治疗,包括现场急救、保持呼吸道通畅、处理休克等合并伤、去骨瓣降低颅内压等措施是急诊治疗成功的关键.Objective To investigate the emergency treatments of severe craniocerebral injury （ SCCI）.Methods Clinical data of 132 patients with SCCI were analyzed retrospectively.Results There were operated on 85 patients and conservative treatment for 47 patients in all 132 SCCI.According to Glasgow outcome scale（GCS） ,101 cases（76.4%） survived,9 cases（7.2%） died,22 cases（16.4%） were disable.Conclusion It was important to carry out the first aid and emergency treatments in time for SCCI,and intensive management of airway,early incision of trachea,anti-shock therapy and decompressive craniotomy or trauma craniotomy and so on, was the key point to successfully rescue of SCCI.

关 键 词：颅脑创伤 重型 急诊 预后 

分 类 号：R651[医药卫生—外科学]