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目的总结颅脑外伤合并胸腹损伤的临床诊治经验。方法对2008年8月2010年2月收治的76例颅脑外伤合并胸腹损伤患者的临床资料进行回顾性分析。结果 76例颅脑外伤合并胸腹损伤患者经救治,成功69例(90.79%),死亡7例(9.21%)。采用GOS评分:良好36例,中残20例,重残10例,植物生存3例,死亡7例。结论颅脑外伤合并胸腹损伤,损伤机制较复杂,早期快速准确诊断、合理治疗是提高治愈率的关键。
Objective To summarize the experience of clinical diagnosis and treatment of traumatic brain injury combined with thoracoabdominal injury. Methods The clinical data of 76 patients with traumatic brain injury complicated with chest and abdomen injury admitted in August 2008 and February 2010 were analyzed retrospectively. Results 76 cases of craniocerebral injury combined with thoracoabdominal injury were treated, 69 cases (90.79%) were successful and 7 cases (9.21%) died. GOS score: 36 cases of good, 20 cases of disability, severe disability in 10 cases, 3 cases of plant survival, 7 cases of death. Conclusions The traumatic brain injury combined with chest, abdomen and abdomen injury is a complicated mechanism of injury. Rapid and accurate early diagnosis and rational treatment are the keys to improve the cure rate.