摘要
目的:总结分析78例脑挫裂伤患者的临床特点及治疗经验。方法:回顾分析78例中-重度脑挫裂伤患者的诊治情况。结果:本组78例患者脑挫裂伤患者,保守治疗50例、手术治疗28例;按照GOS评分标准,出院时恢复良好15例,占19.23%;轻度残疾39例、占50.00%;中-重度残疾15例、占19.23%;死亡9例,占11.54%。结论:对于中-重度的脑挫裂伤患者,应予以高度重视,在非手术治疗过程中,应严密观察意识、瞳孔、生命体征,动态复查头颅CT,正确掌握手术适应症。早期正确有效的综合治疗措施能有效的降低患者的致残率。
Objective：To investigate and analyze the clinical features and treatments of 78 brain contusion and laceration patients. Methods： 78 cases with moderate-severe brain contusion and laceration were retrospectively analyzed. Results： Among all the cases, 50 of them were conservatively treated while 28 were surgically treated. According to GOS classification, 15 （19.23%） cases recovered well,while 39（50.00% ） cases were suffered from mild disability. 15 （19.23%）cases got moderately severe disability. And 9 cases died. Conclusion： More attention should be paid to the patients with moderate-severe brain contusion and laceration. During the thera- peutic process,consciousness,pupils and vital signs should be monitored. Cerebral computerized tomography （CT） should be counter- checked dynamically. Handle the exact information of surgical indications. Early and effective treatment measures can efficiently reduce the morbidity rate among the patients.
出处
《川北医学院学报》
CAS
2013年第3期237-239,共3页
Journal of North Sichuan Medical College
基金
渝卫科教项目(2012-2-331)
关键词
脑挫裂伤
诊断
治疗
Brain contusion and laceration
Diagnosis
Treatment
