海水浸泡开放性颅脑伤的治疗

目的 :为提高海水浸泡开放性颅脑伤的疗效选择一种好的治疗方法。方法 :陆地组 2 0 0例 ,用常规治疗 ;海水浸泡组 35例 ,除常规治疗外 ,还采用高频喷射通气、尼莫通等治疗。结果 :陆地组生存率为 97% ,海水浸泡组为 94 %。海水浸泡组与陆地组相比疗效较差 (P <0 .0 1)。结论 :海水浸泡开放性颅脑伤的生存率虽不如陆地组 ,但与有关报告相比明显提高。因此认为采用高频通气和钙离子拮抗剂尼莫地平治疗海水浸泡开放性颅脑伤是一种有效的方法。

Therapy of the Open Craniocerebral Injury Immersed in Seawater

Objective: To choose a good management method and to enhance the therapeutic effect on open craniocerebral injury immersed in seawater. Methods: 235 patients were assigned into two groups(land group 200 cases and seawater immsersion group 35 cases). The seawater immersion group were treated with high frequency jet ventilation (HFJV) and nimodipine and the land group were given routine treatment. The clinical features of the two groups were compared. Results: The results showed live rate was 97% in the land group and 94% in the seawater immersion group. Conclusion: Thought the seawater immersion group was not as good as the land group in live rate, there was a significant difference as compared with other reports. It is suggested that calcium antagonist and HFJV are effective in the treatment of open craniocerebral injury in seawater immersion.