摘要
目的:总结重型颅脑损伤的救治经验。方法:对250例GCS3-8分重型颅脑损伤住院患者进行回顾性总结。结果:250例重型颅脑损伤患者存活170例(68%),其中恢复良好110例(44%)、中残45例(18%)、重残14例(5%)、植物生存3例(1%),死亡80例(32%)。结论:及时有效地改善脑灌注压及脑血流是保证重型颅脑损伤救治成功的关键,尽早清除颅内血肿和/或去骨瓣减压、加强专科监护、维持内环境稳定、积极防治二次脑损伤与并发症等是改善重型颅脑损伤患者预后的重要措施。
Objective: To summarize the therapeutic experience of the severe head injury. Methods: 250 severe head injured patients with a score of 3～8 on GCS who admitted to our department from May. 2000 to December. 2001 were analyzed retrospectively. Results; 170 cases(68% ) survived in whith 110 cases(44% ) had good recovery, 45 cases (18% ) moderate disability, 14cases( 5 % ) with severe deficits, and other 3cases( 1%) persistent coma. The other 80 cases dead(32% ) after therapy. Conclusions: It is a key to sussess of treatment of severe head injury to effectively and timely improve cerebral perfusion presure(CPP)and cerebral blood fluid( CBF). The prognosis of severe head injury could be improved by early evacuation intracranial hematoma and/or decompressive cranietomies, strict neurosurgical intensive care therapy, keeping stable internal milieu, and effective prevention and treatment of secondary brain insult and complications.
出处
《福州总医院学报》
2002年第3期153-154,共2页
Journal of Fuzhou General Hospital
