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目的探讨儿童重型颅脑损伤的发病机理、临床特点及治疗方法。方法回顾性分析儿童重型颅脑损伤131例。结果临床结果根据GOS标准判断:Ⅴ级(良好)91例,Ⅳ级(中残)10例,Ⅲ级(重残)6例,Ⅱ级(植物生存)0例,Ⅰ级(死亡)24例。结论儿童在颅脑解剖、中枢神经系统生理及病理生理方面有其固有的特性,颅脑损伤后耐受性差,病情常突变,而小儿中枢神经系统修复能力相对较强,如及时解除脑受压,神经功能恢复快,疗效好。早期诊断、正确选择治疗方法及手术方式能明显改善患儿的预后。
Objective To investigate the pathogenesis, clinical features and treatment of severe craniocerebral injury in children. Methods Retrospective analysis of 131 children with severe craniocerebral injury. Results According to the GOS criteria, 91 cases were grade V (good), 10 cases were grade Ⅳ (moderate residual), 6 cases were grade Ⅲ (severe disability), 0 case was grade Ⅱ (plant survival) and 24 cases were grade Ⅰ . Conclusions Children have inherent features in brain anatomy, central nervous system physiology and pathophysiology. After traumatic brain injury, children are often poorly tolerated and often suffer sudden changes. However, children have a relatively strong ability to repair the central nervous system, such as timely release of brain pressure , Rapid recovery of nerve function, good effect. Early diagnosis, the correct choice of treatment methods and surgical methods can significantly improve the prognosis of children.