摘要
目的探讨重型颅脑损伤及合并伤的急诊临床特点和救治方法。方法对100例重型颅脑损伤及合并伤的临床资料进行回顾分析。结果男84例,女16例,男女之比5.2∶1。手术治疗83例(83%),共计136处,非手术治疗17例(17%)。按格拉斯哥预后评分临床治愈41例,轻残5例,重残3例,死亡51例。结论重型颅脑损伤及合并伤病人伤情重,变化快,死亡率高,急诊救治的关键在于早期诊断,优先处理危及生命的损伤,为专科手术治疗提供积极的基础生命支持,以及合理的用药治疗。
【Objective】 To investigate the clinical emergency characteristics and treatment of serious craniocerebral injury,simultaneous injury as well.【Methods】 Carry out reviewing and analyzing the clinical data of serious craniocerebral and simultaneous injury in 100 cases.【Results】 There are 84 cases in male and 16 cases in female,the ratio of which is 5.2∶1.There are 83 operative cases（83%）,amounting to 136 wounds,and non-operative treatment in 17 cases（17%）.According to the Glasgow＇ prognosis,clinical recovery cases are 41,mildly disabled cases are 5,severely disabled are 3,and cases of death are 51.【Conclusion】 The patients of serious craniocerebral and simultaneous injury is badly injured,changeable and the rate of death is high.The key of treatment is the early diagnoses and the pledge of curing endangering life wounds providing positive supporting of life and rational medicinal treatment for professional operation.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2011年第2期248-250,共3页
China Journal of Modern Medicine
关键词
重型颅脑损伤
合并伤
急诊救治
抢救
serious craniocerebral injury
simultaneous injury
emergency treatment
salvage
