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目的探讨外伤性颅内血肿合并脑疝病人的抢救方法。方法回顾分析2002-06~2005-06我院抢救32例外伤性颅内血肿合并脑疝病人的过程,行床边紧急锥颅进行急救,以瞳孔回缩、脉压差变小为标准,观察此方法的效果。结果32例外伤性颅内血肿合并脑疝病人,在使用床边紧急锥颅后约10min,瞳孔有不同程度的回缩、脉压差变小;死亡率明显下降。结论对外伤性颅内血肿合并脑疝病人的急救,使用床边紧急锥颅,能快速降低颅内压,为进一步处理病人赢得宝贵时间,有效地降低死亡率。
Objective To investigate the rescue methods of traumatic intracranial hematoma with cerebral hernia. Methods The clinical data of 32 cases of traumatic intracranial hematoma combined with hernia admitted from 2002-06 to 2005-06 in our hospital were retrospectively analyzed. Emergency bedside emergency skull was used for first aid. With pupil retraction and pulse pressure difference as the standard, The effect of this method. Results 32 cases of traumatic intracranial hematoma with cerebral hernia patients, the use of bedside emergency cone cranial about 10min, the pupil with varying degrees of retraction, pulse pressure difference becomes smaller; mortality decreased significantly. Conclusion Emergency traumatic intracranial hematoma with cerebral hernia in patients with emergency bedside cone can quickly reduce intracranial pressure for further treatment of patients to win valuable time and effectively reduce the mortality rate.