平时颅脑火器伤临床救治体会(附235例报道)  

Treatment experience of civilian craniocerebral firearm wounds: a clinical report of 235 cases

作　　者：谢佳芯 方芳 张社敏 戴志强 曹宁 邓洵鼎 封亚平 Xie Jiaxin;Fang Fang;Zhang Shemin;Dai Zhiqiang;Cao Ning;Deng Xunding;Feng Yaping(Department of Neurosurgery,The 920th Hospital of Joint Logistics Support Force,Kunming 650032,China)

机构地区：[1]解放军联勤保障部队第九二〇医院神经外科,昆明650032

出　　处：《中华神经创伤外科电子杂志》2021年第1期25-28,共4页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

摘　　要：目的总结平时颅脑火器伤患者的临床救治经验,以提高颅脑火器伤救治水平。方法回顾性总结解放军联勤保障部队第九二〇医院神经外科自1979年1月至2019年12月收治的235例颅脑火器伤患者的临床资料,根据患者出院时GOS评分评定治疗效果。结果本组患者中存活203例(86.4%),死亡32例(13.6%)。出院时恢复良好108例(53.2%),中度残疾51例(25.1%),重度残疾30例(14.8%),植物生存14例(6.9%)。结论迅速准确判断伤情、及时彻底行急诊清创手术、早期行康复治疗对提高颅脑火器伤患者的临床救治效果有重要意义。Objective To summarize the clinical treatment experience of civilian craniocerebral firearm wounds,for the benefit of improving the treatment level of craniocerebral firearm wounds.Methods A number of 235 patients with craniocerebral firearm wounds in Neurosurgery Department of 920th Hospital of Joint Logistics Support Force from January 1979 to December 2019 were analyzed retrospectively.The therapeutic outcomes were evaluated by GOS at discharge.Results Finally 203 cases(86.4%)survived and 32 cases(13.6%)died.On discharge,108 cases(53.2%)recovered well,51 cases(25.1%)with moderate disability,30 cases(14.8%)with severe disability,and 14 cases(6.9%)had plant survival.Conclusion Quick and accurate judgment of the injury,timely and thorough emergency debridement surgery,and early rehabilitation are of great significance to improve the clinical treatment of patients with craniocerebral firearm wounds.

关 键 词：创伤性颅脑损伤 火器伤 急救 外科手术 

分 类 号：R826.62[医药卫生—临床医学]