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目的探讨对颅脑外伤伴双侧瞳孔散大患者的救治经验。方法对43例具备手术指征的患者行手术治疗,其余16例行非手术治疗。结果手术治疗者恢复良好9例,中残1例,重残6例,植物生存4例,死亡39例;非手术治疗者16例中重残2例,植物生存1例,死亡13例。结论颅脑外伤伴双侧瞳孔散大患者病死率高,需明确原发病,开展院前及术前急救。对具备手术指征者,积极、尽早手术治疗,防治并发症,以改善预后。
Objective To explore the treatment of craniocerebral trauma with bilateral mydriasis. Methods Forty-three patients with surgical indications underwent surgery, and the remaining 16 patients underwent non-surgical treatment. Results The patients recovered well in 9 cases, 1 case of moderate disability, 6 cases of severe disability, 4 cases of plant survival and 39 cases of death; 16 cases of moderate and severe disability in non-operation treatment, 1 case of plant survival and 13 cases of death. Conclusions The patients with craniocerebral trauma and bilateral mydriasis have a high case fatality rate. The primary disease needs to be clarified and the pre-hospital and preoperative emergency measures should be taken. For those with surgical indications, positive, early surgical treatment, prevention and treatment of complications to improve the prognosis.