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目的分析高龄患者急性重型颅脑外伤手术抢救治疗的要点。方法 50例采用手术抢救治疗的高龄急性重型颅脑外伤患者,认真做好相关的术前准备,选择去骨瓣减压颅内血肿清除术对患者进行抢救,术后对患者进行有效监护,加强常规内科治疗,对并发症进行积极预防,观察效果。结果术后对患者进行为期1年的随访,格拉斯哥预后评分结果显示,全部50例患者中,17例患者恢复良好,13例患者中残,12例患者重残,8例患者死亡。结论高龄急性重型颅脑外伤患者具有较高的并发症发生率和死亡率,给予综合性和系统性的手术抢救治疗,能显著提高临床抢救成功率,促进患者疾病康复。
Objective To analyze the main points of salvage treatment in elderly patients with acute severe traumatic brain injury. Methods Fifty patients with severe acute craniocerebral trauma who underwent salvage surgery were carefully prepared for the preoperative preparation. The patients underwent decompressive craniectomy after craniotomy were rescued. The patients were effectively monitored and strengthened after operation Routine medical treatment, active prevention of complications, observe the effect. Results A one-year follow-up of patients was performed. Glasgow prognostic score showed that of the 50 patients, 17 recovered well, 13 were disabled, 12 were severely disabled, and 8 were fatal. Conclusion The elderly patients with acute severe craniocerebral trauma have higher complication rate and mortality rate. Comprehensive and systematic surgical rescue treatment can significantly improve the success rate of clinical rescue and promote the recovery of patients.