摘要
报告５２例特急重型或急重型颅脑损伤患者的临床表现，结合文献分析了影响此类患者预后不良的因素。作者认为，对这类患者应尽可能利用现有的检查手段（颅骨Ｘ片、脑血管造影）和临床体征，迅速作出诊断并予以决定性的治疗。在ＣＴ扫描诊断颅脑损伤情况下，临床上还应根据患者的不同表现，应予以个体化的处理。同时，对已手术或保守治疗患者，均应严密观察生命体征、意识、瞳孔、肢体活动以及相关实验室检查，并应从住院起即开始防止或治疗肺部、泌尿系感染及水电解质平衡紊乱等，以使颅脑损伤的死亡率和残疾率减少。
Abstract The clinical manifestations of the 52 patientswith extremely severe or acute head
injury were re-ported. Prognostic factors of the patients weretheoretically analyzed. The authors
consider that aprompt diagnosis and decisive treatment should bemade by all means avaliable
including skull X-rayfilm,cerebral angiography and clinicalsigns。 Individualized diagnostic
measures should betaken though CAT scan is available。Vital signs,Con-sciousness. pupils,
activity of limbs and the relevantlab data should be closely monitored in postoperativepatients
and patients receiving conservative treat-ments. Prevention and treatment of pulmonary
andurinary infections and water and electrolytes disturb-ances should be initiated from the time
of admissionin order to minimize the mortality and sequelae ofhead injury. Key Wors:head
injury;extremely severe;prognosticfactors
出处
《中国危重病急救医学》
CAS
CSCD
1994年第3期154-156,共3页
Chinese Critical Care Medicine
