【摘要】 目的探讨重型颅脑损伤(GCS≤8分)的救治策略。方法回顾分析该院神经外科自2001年1月～2004年12月收治的106例重型颅脑损伤患者的临床资料。结果全组恢复良好34例(32.08%),中残25例(23.58%),重残9例(8.49%),植物生存5例(4.72%),病死33例(31.13%)。其中入院时GCS评分(glas-gowcomascale,GCS)为3～5分者,病死率为59.38%,6～8分者,病死率为18.92%。结论GCS评分是评估重型颅脑损伤预后的重要指标之一,尽早明确诊断、及时手术、积极综合治疗是降低伤残率和病死率、提高生存率并改善预后的关键。更多还原

【Abstract】 [Objective] To investigate the urgent management and treatment strategies of severe craniocerebral trauma(GCS≤8). [Methods] A retrospective analysis was made on the clinical data of 106 patients with severe craniocerebral trauma admitted into the department of neurosurgery in our hospital from January 2001 to December 2005. [Results] In 106 cases, good recovery occurred in 34 cases (32.08%), moderate disability in 25 (23.58%), severe disability in 9 (8.49%), vegetative survival in 5 (4.72%) and death in 33 (31.13%). Among the patients of 3～5 glasgow coma scale (GCS) before admittance to our hospital, the mortality was 59.38%. Simultaneously, among the patients of 6～8 GCS, the mortality was 18.92%. [Conclusions] GCS is one of the most significant factors influencing the prognosis of severe craniocerebral trauma. Early definite diagnosis, opportune operation and actively synthetical treatment are crucial to reducing the mortality and disability rate and to improving the survival rate and prognosis.更多还原