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目的探讨重型颅脑损伤合并创伤性湿肺的死亡原因和防治要点。方法对1998年以来收治的85例重型颅脑损伤合并创伤性湿肺患者的临床资料进行回顾分析。结果 85例患者治愈34例,好转25例,植物生存3例,死亡23例,病死率27.1%。死亡的主要原因为肺部损伤,血氧交换发生障碍,机体处于持续低氧状态,短期内难以改善,继发性加重颅脑损伤。结论尽早有效的改善呼吸功能,改善因创伤性湿肺继发性加重颅脑损伤是降低病死率的关健之一。
Objective To investigate the causes of death and prevention and treatment of severe craniocerebral injury combined with traumatic wet lung. Methods The clinical data of 85 patients with severe traumatic brain injury and traumatic wet lung admitted since 1998 were retrospectively analyzed. Results 85 patients were cured in 34 cases, improved in 25 cases, plant survival in 3 cases, 23 died, the mortality rate of 27.1%. The main causes of death were lung injury, blood oxygen exchange obstacles, the body in a sustained hypoxia, difficult to improve in the short term, secondary to increased brain injury. Conclusion As soon as possible to effectively improve respiratory function and improve traumatic wet lung secondary increase of brain injury is one of the key to reduce mortality.