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目的探讨亚低温联合早期机械通气治疗急性重度颅脑损伤的临床疗效,评价其价值。方法选取2013年5月至2015年5月收治的40例急性重度颅脑损伤患者,按治疗方法不同分为对照组(20例,早期机械通气治疗),观察组(20例,早期机械通气联合亚低温治疗),对比两组的临床治疗效果及预后情况。结果观察组治疗后的动脉血氧分压(PaO_2)、二氧化碳分压(PaCO_2)、血氧饱和度(SaO_2)等血气指标水平均优于对照组(P<0.05),且生存率高于对照组,差异显著(P<0.05)。结论应用早期机械通气联合亚低温治疗急性重度颅脑损伤患者,疗效确切,可改善预后,值得临床推广。
Objective To investigate the clinical efficacy of mild hypothermia combined with early mechanical ventilation in the treatment of acute severe craniocerebral injury and to evaluate its value. Methods Forty patients with acute severe craniocerebral injury who were admitted from May 2013 to May 2015 were divided into control group (20 cases, early mechanical ventilation treatment) and observation group (20 cases, early mechanical ventilation combined Mild hypothermia), compared the two groups of clinical treatment and prognosis. Results The levels of PaO 2, PaCO 2 and SaO 2 in the observation group were better than those in the control group (P <0.05), and the survival rates were higher than those in the control group Group, the difference was significant (P <0.05). Conclusion The application of early mechanical ventilation combined with mild hypothermia in the treatment of patients with acute severe traumatic brain injury, curative effect is exact, can improve the prognosis, it is worth clinical promotion.