摘要
目的进一步提高颅脑损伤诊疗水平。方法分析报道我院3年来152例外伤性急性弥漫性脑损伤（DBI）的抢救治疗效果。结果152例，手术治疗75例，非手术治疗77例；交通事故90例（机动车82例，自行车8例），跌滑摔伤36例，坠物击、砸、碰撞伤8例，斗殴等18例。治疗效果（GOS）：1分5例（包括2例24h内者），2～3分5例，4分8例，5分134例，优良率93．4％（142／152例）。结论及早诊断DAI，及时发现并清除脑表血肿，有效地扩大硬脑膜腔，积极防治DBS、DVI和HBD，将可进一步提高DBI的治疗效果。
Objective To improve the diagnosis and therapy of brain injury. Methods From1995 to 1997, 152 cases of acute traumatic diffuse a-conal injury were analyzed and reported. ResultsAmong the 152 cases, 75 were operated. 90 cases were caused by traffic accident, of which, 82 caseswere caused by vehicles, 8 cases by bicycles. 36 cases were caused by tumble; 8 cases by collision j 18cases by fighting. Result: Outcome of treatment was analyzed by using the GOS. The scores werenoticed in 5 cases (including 2 cases within 24 hours) with GOS~ I f 5 cases with GOS~ I -,,8 caseswith GOS= N and the other 134 cases equate V excellent rate, 93. 4 % (142/152 cases ). ConclusionIf DAI was diagnosed earlier; intracranial hematoma was found and cleaned in time; endocranium spacewas effectively enlarged and DBS,DVI and HBD) were positively prevented and cured, the outcome ofthe treatment would be further improved.
出处
《中国全科医学》
CAS
CSCD
1998年第3期157-158,共2页
Chinese General Practice
关键词
颅脑损伤
弥漫性
诊断
治疗
Head injury Trauma Diffuse brain injury Subdural heametoma Subarachnoid hemorrhage
