摘要
目的 DAI是重度脑外伤的主要死亡原因。本组观察了 80例重度DAI患者 ,在常规治疗的同时 ,对 60例行亚低温治疗。旨在探讨亚低温对重度DAI的治疗作用及与患者颅内压、预后的关系。方法 80例重度DAI患者分为亚低温和常温两组 ,所有患者均颅内压监护 5～ 7天。全部患者于伤后 3月行GOS评分判断预后。结果 在亚低温组 ,其颅内压明显低于对照组亚低温治疗后 ,亚低温组患者的生存率为73 3% ,而常温组的生存率为 4 5% ;亚低温组的死亡率为 2 6 7% ,而常温治疗组为 55%。两组之间有明显的统计学差异。讨论 重度DAI后不仅要应及时诊断 ,而且要尽早应用亚低温治疗、尽早降温。亚低温治疗有明显降低颅内压的疗效。亚低温治疗可以明显提高重度DAI患者的生存率和生存质量 。
Objective This paper studied 80 cases with acute patients severed diffuse axonal injury(DAI). Methods 60 patients were treated with moderate hypothermia. 20 cases were controls with normal temperature. Results The results showed ICP of patients in group of moderate hypothermia treatment obviously lower compared to the controls( P <0 05).The rate of death in treating group and controls were 26.7% and 55% respectively( P <0.05). The rate of favorable prognosis were 61.7% and 35% respectively( P <0.05). Conclusions The results proved moderate hypothemia treatment may reduce ICP of patients and improve prognosis of these patients in severed DAI.It is helpful for treating severed DAI.
出处
《兰州医学院学报》
2000年第1期24-25,共2页
Journal of Lanzhou Medical College
