【摘要】 目的 :探讨重型颅脑损伤 (GCS≤8分 )的诊断和治疗。总结重型颅脑损伤救治的经验教训 ,提高重型颅脑损伤的治愈率和降低致残率、死亡率。方法 :对我院1989年6月～2004年6月收治重型颅脑损伤 (GCS≤8分 )968例进行回顾性分析。结果 :968例患者中 ,GCS评分 :6～8分762例中 ,恢复良好472例 ,占61 .94 %,中残216例 ,占28 .34 %,重残41例 ,占5 38 %,植物生存6例 ,占0 .78 %,死亡27例 ,占3 .54 %。GCS评分 :3～5分206例中 ,恢复良好33例 ,占16. 01 %,中残50例 ,占24. 27 %,重残33例 ,占16 .01 %,植物生存9例 ,占4 36 %,死亡81例 ,占39. 32 %。总死亡人数108例 ,占11 .16 %。结论 :重型颅脑损伤后早期发生血管源性脑水肿 ,继而发生细胞毒性脑水肿 ,亚低温对预防重型颅脑损伤患者的脑水肿 ,降低死亡率和改善预后是有效的。重型颅脑损伤应尽早明确诊断、选择恰当的治疗方法 ,是降低致残率、死亡率和提高生存率、改善预后的关键。更多还原

【Abstract】 Objective:To study the diagnosis and management of the severe craniocerebral injury(GCS≤8points).Methods:From Jun1989tO Jun2004,the clinical data of968patients with severe craniocerebral injury were analyzed retrospectively.Results:Among the968cases,GlasgowComa Scale(GCS):6～8762cases,good recovery472cases(61.94%),moderate disability216(28.34%),severe disability41cases(5.38%),vegetative6cases(0.78%),death27cases(3.54%).Glasgow Coma Scale(GCS):3～5206cases,good recovery33cases(16.01%),moderate disability50cases(24.27%),severe disability33cases(16.01%),vegetative9cases(4.36%),death81cases(39.32%).grand total death108cases(11.16%).Conclusion:Vasogenic brain edema was occurred at the early stage of severe craniocerebral injuries,and then cytotoxic brain edema followed.Mild hypothermia was effective for preventing brain damage of the patients with severe craniocerebral inˉjury.Which could reduce the mortality and disablity rate of this disease,and improve the quality of life and the prognosis.更多还原