摘要
目的总结重型颅脑损伤患者的救治方法及经验。方法对2006-01～2010-12收治的24例GCS评分3～8分的重型颅脑损伤患者的临床资料进行回顾性分析。结果 24例患者中标准外伤大骨瓣开颅术治疗17例,不需手术2例,呼吸循环衰竭无法耐受手术治疗5例;按格拉斯哥预后评分法(GOS)评定:存活13例(54.16%),随访6个月,恢复良好8例(33.33%),中残3例(12.5%),重残2例(8.33%);死亡11例(45.84%),其中术后死亡6例(25%)。结论重型颅脑损伤患者病情危重、并发症多、病死率高,标准外伤大骨瓣开颅术可有效降低颅内压,解除脑疝,综合治疗可提高存活率,应作为治疗首选。
Objective To summarize the treatment experience and methods for severe craniocerebral injury.Methods Twenty-four cases of severe craniocerebral injury patients from January 2006 to December 2010 were retrospectively analyzed,whose GCS grade between 3 to 8.Results In 24 cases,17 cases were treated by standard large trauma craniotomy,2 cases were treated by non-operation,5 cases were impossible to tolerance operation due to respiratory and circulatory failure.According to GOS grade system,13 cases（54.16%） survived after 6 months,good recovery in 8 cases（33.33%）,moderate disability in 3 cases（12.5%）,severe disability in 2 cases（8.33%）,11 cases（45.84%） died,including 6 cases（25%） after operation.Conclusion Patients with severe craniocerebral injury have severe illness,complications and high mortality rate.Standard large trauma craniotomy can effectively reduce the pressure of intracranial and cure cerebral hernia,and can improve the survival rate with the comprehensive treatment,as the first treatment choice.
出处
《中国实用神经疾病杂志》
2011年第13期8-9,共2页
Chinese Journal of Practical Nervous Diseases
关键词
标准外伤大骨瓣开颅术
重型颅脑损伤
Standard large trauma craniotomy
Severe craniocerebral injury
