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选取我院收治的中重型颅脑损伤合并颈椎颈髓损伤患者64例,其中将确诊时间<24h的23例患者设为早期组,将确诊时间≥24h的41例患者设为晚期组。比较两组患者的临床特点、死亡率、治疗后格拉斯哥昏迷指数(GCS)评分。64例患者死亡率为14.06%,两组患者死亡率比较差异无统计学意义(P>0.05);治疗后早期组患者GCS评分明显优于晚期组,差异具有统计学意义(P<0.05)。中重型颅脑损伤合并颈椎颈髓损伤患者具有较高的死亡率,临床应高度重视,及早诊断,采取合适的治疗方式,改善患者预后。
Sixty-four patients with moderate-severe craniocerebral injury and cervical spinal cord injury admitted to our hospital were selected. Twenty-three of the 24 patients with definite diagnosis time <24h were selected as the early group, and 41 patients diagnosed more than 24 hours as the advanced group. The clinical characteristics, mortality and post-treatment Glasgow coma index (GCS) scores were compared between the two groups. The mortality rate of 64 patients was 14.06%. There was no significant difference in mortality between the two groups (P> 0.05). The GCS score of the early group was significantly better than that of the late group after treatment. The difference was statistically significant (P <0.05). Patients with severe craniocerebral injury combined cervical spinal cord injury have a higher mortality rate, clinical should attach great importance to early diagnosis, to take appropriate treatment to improve patient prognosis.