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目的探讨重型颅脑损伤的治疗及死亡原因。方法回顾分析130例患者的临床资料。结果入院后1d内死亡23例,1～3d12例,4～7d15例,超过7d15例。脑损伤过重致中枢性呼吸循环衰竭死亡52例,严重合并伤伴休克死亡7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1例,长期消耗衰竭死亡1例。结论重型颅脑损伤占急性颅脑损伤的13%～21%,其病死率极高,历来救治十分困难。CT能够更及时准确的提供伤后颅内的变化情况,为治疗提供准确的信息,在一定程度上降低了病死率。
Objective To investigate the treatment of severe craniocerebral injury and the causes of death. Methods The clinical data of 130 patients were retrospectively analyzed. Results Within 1d after admission, 23 patients died, 1 ~ 3d12 patients, 4 ~ 7d15 patients, more than 7d15 patients. Cerebral injury overweight caused central respiratory failure in 52 deaths, severe combined injury with shock death in 7 cases, acute neurogenic pulmonary edema in 2 cases, water and electrolyte acid-base balance disorders in 2 cases, severe pulmonary infection death 1 Cases, long-term consumption depletion death in 1 case. Conclusion Severe craniocerebral injury accounts for 13% ~ 21% of acute craniocerebral injury, and its mortality is extremely high. CT can provide more timely and accurate intracranial changes after injury, to provide accurate information for treatment, to a certain extent, reduce the case fatality rate.