手术治疗68例重症颅脑外伤的临床研究  

Surgery for 68 severe traumatic brain injury

作　　者：韦可聪[1] 

机构地区：[1]广西中医学院第一附属医院,广西530023

出　　处：《海南医学院学报》2011年第10期1361-1362,1365,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020110371)~~

摘　　要：目的:通过与非手术治疗比较,探讨和总结手术治疗重症颅脑外伤的临床应用价值和可行性。方法:回顾性分析2006年～2010年68例我院重症颅脑外伤患者,观察组38例给予手术治疗,对照组30例给予非手术治疗。结果:通过比较观察组和对照组治疗指标如意识、呼吸、颅内压、心电图、以及预后等情况可知,观察组和对照组疗效结果比较差异均有统计学意义(P均<0.05)。结论:重症颅脑外伤病情危重,做好准确的术前评估、选择手术类型、把握手术时机、实时检测病情变化、做好手术围术期处理以及预后恢复等措施,是成功抢救重症颅脑外伤病员的重要环节。Objective： To explore the value and feasibility of surgery for severe traumatic brain injury by comparing with non-surgery therapy.Methods： Data of 68 cases of severe traumatic brain injury admitted to our hospital from 2006 to 2007 were retrospective analyzed including 38 cases that underwent surgery（Observation group） and 30 patients that was given non-surgical therapy（control group）.Results： There were significant differencesin respiration,intracranial pressure,ECG,and prognosis between the observation group and control group（P all 0.05）.Conclusions： Accurate preoperative assessment,selection of surgery,proper time,real-time detection of patients＇ status are of the utmost importance for successful rescue of patients with severe traumatic brain injury.

关 键 词：重症颅脑外伤 手术治疗 临床分析 

分 类 号：R473[医药卫生—护理学]