摘要
目的分析11例轻型颅脑损伤患者治疗后期猝死的原因。方法对11例患者的伤情、诊断及治疗结果进行总结。结果11例患者在猝死前均无明显先兆,猝死原因可能与蛛网膜下腔出血引起脑血管痉挛(CVS)、迟发性下丘脑功能损害、脑干软化等有关,其中1例为脑动脉瘤外伤后破裂。结论判断颅脑损伤严重程度不能仅凭GCSS,而应分析受伤机理,结合影像学的动态检查为依据。对有蛛网膜下腔出血、颅底骨折、突发高热、颅底脑池显示不清等高危因素的患者要高度重视,尽早处理。
Objective To analyse the the reasons of sudden death in 11 patients in the late stage of mild craniocerebral injury. Methods Give a review and evaluation of the traumatic condition ,diagnosis and therapeutic results. Results There were no obvious prosymptom before sudden death among the 11 patients , the reason of sudden death might be due to CVS caused by subarachnoid hemorrhage , or due to tardive damage of hypothalamus, or due to malacoma of brain stern, 1 case die of rapture of cerebral aneurysm after trauma. Conclusion We should not determine the severity of craniocerebral injury merely by CCSS, instead , the mechanism of injury should be analysed combined with dynamic study of imaging . Great attention should be paid to patients with the high risk factors such as subarachnoid hemorrhage ,basal fracture and unclear display of cistern in basalis , early treatment Mould be carried out as soon as possible .
出处
《浙江临床医学》
2006年第3期245-246,共2页
Zhejiang Clinical Medical Journal
关键词
轻型颅脑损伤
GCSS
猝死
Mild craniocerebral injury GCCS Sudden death
