摘要
目的 总结以颅脑损伤为主复合伤预后。方法 运用损伤严重度评分法和格拉斯哥昏迷评分法对本文672例以颅 脑外伤为主的复合伤进行预后评估。结果 损伤严重度评分值越高死亡率越高,但不完全成正比;格拉斯哥评分越低死亡率越 高,也不完全成反比;若颅脑损伤严重(格拉斯哥昏迷值较低),而其他器官损伤较轻微,损伤严重度评分值不高,死亡率也较 高;而颅脑损伤轻微(格拉斯哥昏迷值较高),其他器官损伤严重,损伤严重度评分值较高,死亡率也不会较高。结论 单用损 伤严重度评分法或格拉斯哥昏迷评分法判断损伤程度和评估预后都有局限性,只有两者结合才能更加全面、更加客观。
Objective To summarize the prognosis of cerebral injury with compound wound.Methods The prognosis of 672 cases was e-valuate by injure severity score (ISS) and Glasgow coma score (GCS) .Results The score of ISS was higher, the death rate was higher, but not fully direct ratio. The score of GCS was higher, the death rate was lower, but not completely inverse ratio. If the cerebral injury was severe and other organ injury was light, ISS would be not higher and death tate was also higher. If the cerebral injury was light ad other organ injury was severe, ISS would be higher and death rate was not higher.Conclusion There exists a limit singly using ISS or GCS to evaluate prognosis, it will be overall and objective by combining ISS with GCS.
出处
《河南实用神经疾病杂志》
2004年第4期23-24,共2页
Henan Journal of Practical Nervous Diseases
