摘要
目的总结小儿重型颅脑损伤的发病特点及诊治经验。方法对1986年1月以来的189例小儿重型颅脑损伤进行回顾性分析。结果手术125例，非手术64例。痊愈117例，轻残21例，重残10例，植物状态2例，死亡39例，死亡率20．6％。手术治疗与非手术治疗的预后比较无显著性差异（P〉0．05），而GCS计分与预后则呈密切相关（P〈0．01）。结论①受伤以高处坠落为主、伤后原发意识障碍突出、早期癫痫发生率高是其是主要特点。②头颅CT检查在诊断中有重要意义。③及时解除颅内高压、缓解脑水肿、密切监测病情变化是治疗关键；康复治疗有助于提高生存质量；对于术中脑膨胀者可考虑实质部分切除内减压，以挽救生命。
Objective To summarize the causes and management experience of the child＇s severe Craniocerebral injury. Methods Performing a retrospective analysis of 189 cases of severe child＇ s Craniocerebral injury since January 1986. Results 125 cases were operated, 64 cases were not operated, i17 cases were cured, 21 cases were light disability, 10 cases were severe disability, 2 cases remained vegetable state, 39 cases died, the mortality was 20.6%.There was no obvious difference in the comparision between the operetion treating group and the noperation treating group（P〉0.05）. But close correlation was shown between GCS and prognosis （P〈0. 01）.Conclusion （1） the main features： most cases were injuries caused by falling from a high place, the primary coma was remarkable, the early epilepsy occurred lightly.（2） the head CT was important for the diagnosis.（3）reducing the intracranial high pressure and craniocerebral edema, and supervising the course closely are the keys of the treatment, the cerebrolectomy could be considered in founding of brain swelling in the operation.
出处
《国际医药卫生导报》
2008年第12期59-61,共3页
International Medicine and Health Guidance News
关键词
小儿
颅脑损伤
Child Craniocerebral injury
