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目的探讨小儿重型颅脑损伤的症状特点及治疗要点。方法在116例小儿重型颅脑损伤患者中,非手术治疗34例,急症手术治疗82例,入院7d 以后仍昏迷或有神经功能损害者,排除颅内活动性出血及颅底骨折后开始行高压氧治疗。结果恢复良好67例,中残24例,重残12例,植物生存5例,死亡8例。结论重型颅脑损伤患儿症状较重,病情变化快。小儿神经系统处于发育成熟阶段,代偿和恢复能力较强,积极抢救可获得满意疗效。高压氧有时似有立竿见影的效果。
Objective To investigate the symptom characteristics and treatment points of children with severe craniocerebral injury. Methods In 116 pediatric patients with severe craniocerebral injury, 34 cases were treated non-operatively, 82 cases were treated by emergency surgery. After 7 days of admission, patients were still unconscious or had neurological impairment. Exclusion of intracranial active bleeding and skull base fractures began with high pressure Oxygen therapy. The results of good recovery in 67 cases, 24 cases of disability, severe disability in 12 cases, 5 cases of plant survival, 8 cases of death. Conclusion Severe head injury in children with severe symptoms, rapid changes in condition. Pediatric nervous system is in the mature stage, compensatory and recovery ability, and active rescue can be satisfied with the curative effect. Hyperbaric oxygen sometimes seems to have immediate effect.