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目的探讨重型颅脑损伤合并腹部闭合性损伤的诊断和治疗。方法对63例重型颅脑损伤合并腹部闭合性损伤患者的临床资料进行回顾分析。结果死亡19例,植物生存状态5例,好转16例,治愈23例,死亡率30.2%。结论重型颅脑损伤合并腹部闭合性损伤病情复杂,较易漏诊、误诊,早期发现,早期治疗,首先处理危及生命的损伤是抢救成功的关键。
Objective To investigate the diagnosis and treatment of severe traumatic brain injury with closed abdominal injury. Methods The clinical data of 63 patients with severe craniocerebral injury complicated with closed abdominal injury were retrospectively analyzed. Results in 19 cases of death, plant survival in 5 cases, improved in 16 cases, 23 cases were cured, the mortality rate was 30.2%. Conclusions Severe traumatic brain injury complicated with closed abdominal injury is complicated. It is easy to miss, misdiagnosis, early detection and early treatment. First, the key to successful treatment is to manage the life-threatening injury.