摘要
目的探讨神经外科重症患者行气管切开的意义,适应证及并发症。方法报告114例神经外科重症患者行气管切开术,其中高血压脑出血88例,原发性脑干损伤11例,脑挫裂伤5例,合并其它伤10例。结果基本治愈82例(72%),好转19例(17%),自动出院4例(3.5%),植物生存4例(3.5%),死亡5例(4%)。结论很多神经外科危重患者应及时行气管切开术,以解除呼吸道梗阻,防止窒息,改善通气,防止加重脑缺氧,防治严重的肺部感染,促进脑功能恢复。
Objective Rearch the signaficance syndrom and the complication of tracheotomy to enmergency Patients in neurosurgery. Methods Report 114 cases of tracheotomy to enmergence patients in neurosurgery, including 88 hyportension cerebral hemorrhage, 11 primary brain - stem injuries, 5 cases of contusion and laceration brain, 10 eases of other compound injuries. Results All of the cases , 82 cases of basically cured, （72%） 19 improved （17）, 4released from the hospital （3.5%）, 4 botanical existenceee（3.5% ）, 11 5 mortalities（4% ）. Conclusion For many emergency eases in neurosurgery, tracheotomy may reolve respiratory tract obstruction, prevent stiflet, improvcc the air current, prevent the cerebral anoxin from kecoming, worse as well as sver lung infection Promote the covery of brain fimction.
出处
《临床和实验医学杂志》
2006年第1期30-31,共2页
Journal of Clinical and Experimental Medicine
