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204例重型脑伤的救治分析

Treatment of Severe Head Injury (An Analysis of 204 patients)

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【作者】 邓发斌刘跃辉饶中和

【Author】 DENG Fa-bin, LIU Yue-hui, RAO Zhong-he (Chengdu NO.6 People’s Hospital, Sichuan Chengdu 610016, China)

【机构】 成都市第六人民医院成都市第六人民医院 四川 成都 610051四川 成都 610051四川 成都 610051

【摘要】 回顾分析204例重型颅脑损伤的临床资料,探讨有效救治手段。结果显示,受伤原因中交通事故伤140例(68.6%),坠落伤28例(13.7%),打击伤及其他占36例(17.7%),格拉斯哥计分(GCS)越低,死亡率越高。脑中线移位程度与死亡率高低呈正相关。适当手术时机的选择及术后综合治疗,复合伤的及时治疗,能明显提高救治成功率,减少并发症的发生。

【Abstract】 It is reviewed hos to explore efficient medical treatment from the clinical materials about 204 cases of severe head injury. As a result of this study, the reasons for such a kind of injury are traffic accident injury 140 cases (68.6%), falling injury 28 cases (13.7%), hitting and other situations injury 36 cases (17.7%) . When grades of GCS is lower, the mortality is higher. At the same time, There is a positive conection between brain mid-line displacement extent with mortality. If the time for operation is chosen exactly the comprehensive treatment after operation is given properly and the multiple injury is treated in time, the proportion of success will be sharply increased and complication will be less.

【关键词】 脑损伤重型救治
【Key words】 head injuryseveretreatment
  • 【文献出处】 成都医药 ,Chengdu Medical Journal , 编辑部邮箱 ,2001年01期
  • 【分类号】R651.15
  • 【下载频次】5
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