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目的探讨重型颅脑损伤患者的死亡原因。方法回顾分析本院2004年2月至2009年6月60例重型颅脑损伤患者的临床资料。结果入院后1d内死亡15例,1～3d 18例,4～7d 22例,超过7d 5例,最短30min,最长115d。脑损伤过重致中枢性呼吸循环衰竭死亡49例,严重合并伤伴休克死亡4例,急性神经源性肺水肿死亡2例,水、电解质酸碱平衡紊乱死亡2例,严重肺部感染死亡2例,长期消耗衰竭死亡1例。结论对于重型颅脑损伤者应积极救治,及时纠正休克,减少继发性损伤,对症支持治疗,积极防治并发症,重视营养支持,以降低重型颅脑损伤患者的死亡率。
Objective To investigate the causes of death in patients with severe craniocerebral injury. Methods The clinical data of 60 patients with severe traumatic brain injury in our hospital from February 2004 to June 2009 were retrospectively analyzed. Results In the first day after admission, 15 cases died, 1 ~ 3d in 18 cases, 4 ~ 7 days in 22 cases, over 7 days in 5 cases, the shortest 30min, the longest 115d. Cerebral injury overweight caused central respiratory failure in 49 cases of death, severe combined injury with shock death in 4 cases, acute neurogenic pulmonary edema in 2 cases, water, electrolyte acid-base balance disorders in 2 deaths, severe lung infection deaths 2 Cases, long-term consumption depletion death in 1 case. Conclusion Severe traumatic brain injury should be actively treated, timely correction of shock, reduce secondary injuries, symptomatic and supportive care, active prevention and treatment of complications, emphasis on nutritional support to reduce the mortality of patients with severe craniocerebral injury.