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目的:探讨重型颅脑损患者在临床的救治方法及效果。方法:回顾性分析2006年9月至2011年8月我院收治的92例重型颅脑损伤患者,随机分为70例手术组行开颅血肿清除及去标准大骨瓣减压术,非手术组22例,两组均行术前急救及生命体征检测。结果:92例重型颅脑损伤患者按GOS评分,Ⅰ级恢复良好49例(53.26%),Ⅱ级中度残疾16例(17.39%),Ⅲ级重度残疾7例(7.60%),Ⅳ级植物人现象6例(6.52%),Ⅴ级死亡10例(10.86%)。结论:重型颅脑损高死亡、高致残,及时抢救及综合治疗是救治关键,临床应用手术治疗与非手术治疗,术后加强监护,能有效预防并发症,降低死亡率。
Objective: To explore the clinical treatment of severe craniocerebral injury and its effects. Methods: A retrospective analysis of 92 patients with severe craniocerebral injury treated in our hospital from September 2006 to August 2011 were randomly divided into operation group (70 cases) undergoing open craniotomy and standard decompressive craniectomy Group of 22 cases, two groups were preoperative emergency and vital signs detection. Results: According to GOS score, 49 cases (53.26%) of grade Ⅰ recovered well, 16 cases (17.39%) of grade Ⅱ moderate disability, 7 cases (7.60%) of grade Ⅲ severe disability, There were 6 cases (6.52%) and 10 cases (10.86%) of Ⅴ. Conclusion: Severe craniocerebral injury is dead, malleable, timely rescue and comprehensive treatment is the key to treatment. Clinical application of surgical treatment and non-surgical treatment, postoperative intensive care, can effectively prevent complications and reduce mortality.