摘要
近10年收治因交通事故致严重颅脑开放伤36例,占同期收治重型颅脑开放性损伤的52.16%。其临床特点是意识障碍显著,脑挫裂伤严重,颅内血肿发生率高,伤口污染重及合并伤多。经救治痊愈30例,植物生存2例,死亡4例。结合本组病例救治原则上强调了院前急救的重要性,早期彻底清创,积极预防和治疗并发症,才能有效降低死亡率,减少伤残率。
Thirty-six cases with severe open craniocerebral injuries caused by traffic accidents were treated during the past 10 years, holding 52.16% of the severe open brain injuries of the corresponding periods. The clinical characteristics of these cases were seriously confusion and unconseiousness, broad brain contusion and laceration, hight incidence of intracranial heamotoma, severe wound contamination and complicated mutiple systemic injurious. The results showed recovery in 30(83.33%), sequela in 2(5.56%) and death in 4(11.11%). The main principles that authers stressed are pre-hospital emergency treatment, immediate debrideraent, actively preventingand treating complications. These are necessary measures to decrease the rates of disability and mortality.
出处
《广东医学》
CAS
CSCD
1996年第12期798-800,共3页
Guangdong Medical Journal
