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我院自1991年6月至1994年2月共收治急性颅脑损伤576例,其中重型颅脑损伤114例,现报道如下。临床资料一、一般资料:本组男84例,女30例,年龄7～62岁。致伤原因:车祸85例,打击伤19例,高空坠落伤10例。头部着力部位:额部23例,颞顶部54例,顶枕部37例。损伤分类:在114例中,闭合性颅脑损伤108例,开放性颅脑损伤6例。除脑挫裂伤、脑干损伤69例外,颅内血肿45例,其中急性硬膜外血肿22例,急性硬膜下血肿16例,多发性血肿4例,脑内血肿3例。临床表现:特重型颅脑损伤26例,GCS评分1～4分,其中14例入院时深昏迷,双侧瞳孔散大,对光反应
Our hospital from June 1991 to February 1994 were treated 576 cases of acute craniocerebral injury, including 114 cases of severe craniocerebral injury, are reported below. Clinical data First, the general information: The group of 84 males and 30 females, aged 7 to 62 years. Cause of injury: a car accident in 85 cases, 19 cases of combat injury, fall injury in 10 cases. Head focus on the site: the amount of 23 cases, 54 cases of temporal top and occipital 37 cases. Injury classification: In 114 cases, 108 cases of closed head injury, open head injury in 6 cases. In addition to cerebral contusion, brain stem injury 69 cases, 45 cases of intracranial hematoma, including 22 cases of acute epidural hematoma, 16 cases of acute subdural hematoma, multiple hematoma in 4 cases, 3 cases of intracerebral hematoma. Clinical manifestations: 26 cases of extra-severe craniocerebral injury, GCS score of 1 to 4 points, 14 cases of deep coma admission, bilateral mydriasis, light response