特重度颅脑损伤救治相关问题探讨  

The investigation on relevant issues of the treatment of heavy brain injury

作　　者：宋全生 程文刚 侯晓鹏 白凤云 

机构地区：[1]忻州市人民医院,山西忻州034000

出　　处：《临床医药实践》2015年第6期426-429,共4页Proceeding of Clinical Medicine

摘　　要：目的:分析和探讨急性特重度颅脑损伤在救治中存在的问题,以提高救治率,降低病死率。方法:对88例特重度颅脑损伤患者的救治进行回顾性分析,分析存在问题。结果:采用格拉斯哥预后评分(GOS)评估88例患者的预后情况,1分死亡16例,其中入院后2 h内死亡9例,术后死亡7例;2分植物生存22例;3分重度致残,卧床不起,需他人照料21例;4分中残,日常生活需他人帮助14例;5分恢复良好15例,日常生活完全自理,能工作学习,能参与社会活动。结论:对绝对适应证的特重度颅脑损伤合并颅内血肿、脑水肿、脑肿胀、脑疝格拉斯哥昏迷评分(GCS)在5分以下的患者,及时、恰当、规范地采取标准去骨瓣降压及血肿清除,对术前、术中、术后常见问题进行分析探讨,可降低病死率,提高生活质量。Objective：To analyze and investigate relevant issues in the treatment of heavy brain injury,increase the cure rate and reduce mortality. Methods：To analyze retrospectively the cure of 88 cases with intracranial hematomas heavy brain in-jury. Results：Using glasgow outcome scale（ GOS）to evlaue the prognostic situation of patients,1 score in 16 cases,of which 9 cases died after admission 2 h,7 cases died after surery;2 scores in 22 cases,3 scores severely disabled,bedridden and need others tendance in 21 cases;4 scores midding disability,daily life need help in 14 cases;5 scores in 15 cases,they had good re-covery,daily life can take care of themselves,to work and study,participate in social activities. Conclusion：The absolute indica-tions of severe head injury and intracranial hematoma,cerebral edema,brain swelling,glasgow coma score（ GCS）less 5 scores, to take bone buck and hematoma,preoperative timely,appropriately,intraoperative and postoperative were analyzed and dis-cussed common problems,reduce mortality and improve quality of life,it is to save the lives of patients of important aspects of treatment.

关 键 词：特重度颅脑损伤 标准去骨瓣降压问题 探讨 

分 类 号：R651.15[医药卫生—外科学]