摘要
目的 探讨交通事故所致重型颅脑损伤伴脑疝形成伤员的死亡原因和救治措施。方法 对 6 8例GCS 3～ 6分的患者进行回顾性研究 ,行急诊手术清除颅内血肿和 /或颅内外减压 6 3例 (92 .6 5 % ) ,术后给予相关治疗。结果 存活 41例 ,死亡 2 7例 (39.71% )。结论 加强院前救治 ,及时开颅手术清除血肿及减压 。
? Objective To analyze the death causes and study the treatment of severe head injury associated with cerebral hernia caused by traffic accidents. Methods Sixty eight patients were involved in the study.And 3～6 of Glosgow Coma Scale (GCS) was calculated in this series.Emergency operative evacuation of intracranial hematomas and/or surgical decompression were done in 63 cases (92.65%).Other therapies were given postoperatively. Results Forty one patients survived and 27 patients died ( 39.7% ). Conclusion It is important for reducing the mortality to strengthen the pre hospital emergency treatment,evacuate the intracranial hematomas and perform surgical decompression in time as well as prevent and treat the secondary brain damage and extra cranial complications. 〔
出处
《创伤外科杂志》
2000年第1期7-9,共3页
Journal of Traumatic Surgery
关键词
交通事故
颅脑伤
脑疝
手术
并发症
Traffic accidents
Head injury
Brain hernia
Surgery
Complications
