摘要
目的 了解重型颅脑损伤合并上颈椎损伤患者的临床特点 ,以提高对其认识和警惕性。 方法 对 2 9例重型颅脑损伤合并上颈椎损伤患者进行临床分析。 结果 致伤原因 :交通伤 2 6例 ,高处坠落伤 1例 ,高处陡坡滚落伤 1例 ,矿井塌方致伤 1例。治疗结果 :生存 16例 ,死亡 13例。按格拉斯哥预后评分 (GOS)评定 :Ⅴ级 2例 ,Ⅳ级 7例 ,Ⅲ级 6例 ,Ⅱ级 1例 ,Ⅰ级 13例。结论 重型颅脑损伤合并上颈椎损伤 ,伤情严重而复杂 ,颅脑损伤容易受到重视被及时诊断、及时抢救治疗 ;而上颈椎损伤临床表现容易被掩盖、相对隐蔽 ,极易漏诊 ,不能及时处理 ,死亡率高 ,严重并发症是死亡的主要原因。
Objective To study clinical features of severe craniocerebral injuries complicated by upper cervical vertebral injuries so as to have a deeper understanding and higher vigilantness. Methods Twenty-nine cases of severe craniocerebral injuries complicated by upper cervical vertebral injuries were clinically analyzed. Results Injury causes included traffic accident in 26 cases, fall in one, rolling down in one and mine collapse in one. Treatment results showed that 16 cases survived and 13 died. As for Glasgow Outcome Scale (GOS) score, two cases were ranked at grade Ⅴ, seven at grade Ⅳ, six at grade Ⅲ, one at grade Ⅱ and 13 at grade Ⅰ. Conclusions The severe craniocerebral injuries complicated by upper cervical vertebral injuries are critical and complex mainly because the severe craniocerebral injuries can be paid more attention and diagnosed and treated early while the upper cervical vertebral injuries are easy to be neglected, as gives rise to missed injuries, lack of timely management and high mortality. Therefore, various severe complications are liable for deaths.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2004年第9期536-538,共3页
Chinese Journal of Trauma
