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目的提高对重型颅脑损伤的认识,总结治疗经验。方法回顾分析73例急性重型颅脑损伤患者的临床资料,其中手术治疗47例,非手术治疗26例。均采用综合规范化治疗,积极防治并发症、合并症。结果恢复良好28例(38.3%),中残11例(15.1%),重残8例(11.0%),植物生存3例(4.1%),死亡23例(31.5%)。结论遵循院前院内急救一体化、加强救治的各环节、采取综合规范化治疗与护理的原则,采取及时手术清除血肿、控制颅内高压、预防和控制并发症的措施,是提高重型颅脑损伤患者救治成功率及改善其生存质量的关键。
Objective To raise awareness of severe craniocerebral injury and summarize the experience of treatment. Methods The clinical data of 73 patients with acute severe craniocerebral injury were retrospectively analyzed. Among them, 47 cases were treated surgically and 26 cases were treated non-surgically. Adopt a comprehensive standardized treatment, active prevention and treatment of complications, complications. Results The results showed good recovery in 28 cases (38.3%), moderate residual in 11 cases (15.1%), severe residual disorders in 8 cases (11.0%), plant survival in 3 cases (4.1%) and death in 23 cases (31.5%). Conclusion Follow the hospital front hospital first aid integration, to strengthen the treatment of all aspects, to take the principle of comprehensive and standardized treatment and care, to take timely surgical removal of hematoma, control of intracranial hypertension, prevention and control of complications measures to improve patients with severe craniocerebral injury The success rate of treatment and improve the quality of their lives.