论文部分内容阅读
目的总结重型颅脑损伤的诊治经验。方法回顾性分析72例重型颅脑损伤患者的临床资料。结果本组手术治疗54例,保守治疗18例。手术采用开颅清除血肿、挫碎坏死脑组织及去骨瓣减压术。所有病例均给予补液、脱水、激素、抗感染及预防应激性溃疡出血,保护肝肾功能,保持电解质及酸碱平衡,神经细胞活化剂、营养支持等治疗。患者按GOS分级评估疗效,治愈及好转17例,中残14例,重残10例,植物状态8例,死亡11例。结论早诊断、早治疗,积极手术并结合术后综合治疗可取得较满意的效果。
Objective To summarize the diagnosis and treatment of severe craniocerebral injury. Methods The clinical data of 72 patients with severe craniocerebral injury were retrospectively analyzed. Results This group of 54 cases of surgical treatment, conservative treatment of 18 cases. Surgical use of craniotomy to remove hematoma, broken brain tissue necrosis and debridement decompression. All cases were given rehydration, dehydration, hormones, anti-infection and prevention of stress ulcer bleeding, liver and kidney function protection, maintain electrolyte and acid-base balance, nerve cell activators, nutritional support and other treatment. The patients were evaluated by GOS grading, including 17 cases of cure and improvement, 14 cases of moderate disability, 10 cases of severe disability, 8 cases of plant status and 11 cases of death. Conclusion Early diagnosis, early treatment, active surgery combined with postoperative comprehensive treatment can be more satisfactory results.