论文部分内容阅读
目的探讨影响重型颅脑损伤预后的相关因素,总结临床救治策略。方法回顾性分析126例重型颅脑损伤患者的临床资料,统计其年龄,性别,格拉斯哥昏迷评分(GCS),有无合并脑疝、休克、合并伤,基础疾病,低氧血症和高血糖等可能与预后相关的指标。结果根据格拉斯哥预后评分(GOS)分级标准,本组患者Ⅰ级40例,Ⅱ级21例,Ⅲ级15例,Ⅳ级20例,Ⅴ级30例。预后良好和预后不良患者年龄,GCS评分,有无合并脑疝、休克、合并伤和基础疾病比较,差异均有统计学意义(P<0.05)。结论年龄、GCS评分、脑疝、合并休克、基础疾病、有合并伤可影响重型颅脑损伤的预后。在多科室的协助下,及时、准确地评估病情,采取多学科协作治疗,是降低重型颅脑损伤患者病死率,改善预后的关键。
Objective To explore the factors influencing the prognosis of severe craniocerebral injury and to summarize the clinical treatment strategies. Methods The clinical data of 126 patients with severe traumatic brain injury were retrospectively analyzed. The age, gender, Glasgow Coma Scale (GCS), presence or absence of hernia, shock, combined injury, underlying diseases, hypoxemia and hyperglycemia were analyzed retrospectively Possible prognostic indicators. Results According to Glasgow Outcomes Score (GOS), 40 patients were grade Ⅰ, 21 were grade Ⅱ, 15 were grade Ⅲ, 20 were grade Ⅳ and 30 were Ⅴ. Good prognosis and poor prognosis patients age, GCS score, with or without hernia, shock, combined injury and underlying diseases, the difference was statistically significant (P <0.05). Conclusions Age, GCS score, cerebral hernia, combined shock, basic diseases, and combined injury can affect the prognosis of severe craniocerebral injury. With the help of many departments, timely and accurate evaluation of the disease and multidisciplinary collaborative therapy is to reduce the mortality of patients with severe craniocerebral injury and improve the prognosis of the key.