急性重型颅脑损伤347例临床治疗分析  

Clinical Analysis on Treatment of 347 Cases of Acute and Severe Head Injury

作　　者：李均辉[1] 杨遇春[1] 高洪伟[1] 叶大公[1] 青松文[1] 

机构地区：[1]黑龙江省医院神经外科,150036

出　　处：《伤残医学杂志》2001年第1期28-31,共4页Medical Journal of Trauma and Disability

摘　　要：目的：分析急重型颅脑损伤治疗经验。方法：统计本院6年来收治的急重型颅脑损伤病人347例，分析治疗结果。结果：1993年至1999年共收治急重型颅脑损伤347例，其中病人恢复良好199例(占57.35%)，中残36例(占10.37%)，重残18例(占5.19%)，死亡94例(占27.09%)。结论：维持内环境的稳定、及早清除颅内血肿、大骨瓣减压及防治并发症等措施，可显著改善急重型颅脑损伤病人的预后。Objective: To analyze the therapeutic experience of acute and severe head injury. Methods: 347 cases of acute and severe head injury were studied about etiology, clinical type and mortality retrospectively from 1993 to 1999. Results: 199 cases of 347 (57.35) had good recoveries. 36 cases (10.37%) had moderate disabilities and other 18 case (5.19%) with severe deficits. The other 94 cases dead (27.09%) after therapy. Conclusion: The prognosis of acute and severe head injured patients could be improved by early evacuation of intracranial hematoma with large decompression craniectomy and effective prevention and treatment of complication.

关 键 词：急重型颅脑损伤 治疗 预后 

分 类 号：R651.150.5[医药卫生—外科学]