重型颅脑损伤396例抢救治疗

目的探讨重型颅脑损伤(SCCI)临床抢救治疗方法,进一步提高SCCI救治水平。方法对我院396例重型颅脑损伤患者致伤原因、损伤类型、临床表现、影像学检查、救治措施及预后状况等进行临床总结分析。结果按GOS评分,恢复良好265例(66．9％),中度伤残17例(4．3％),严重伤残8例(2．0％),植物生存6例(1．5％),死亡92例(23．2％),转院8例(2．0％)。结论CT对重型颅脑损伤的诊断具有简便和准确的优点。做好现场急救。早期诊断和手术、清除血肿、解除脑受压。防治并发症等完善的综合性抢救措施可提高治愈率、降低死亡率及伤残率。

Emergency treatment of 369 cases of severe craniocerebral injury

Objective To investigate the clinical emergency measures and further improving the therapeutic level of severe craniocerebral injury(SCCI).Methods The clinical data of 369 cases with serious cranio cerebral injury were analyzed retrospectively.Results Acording to Glasgow outcome score(GOS),265(66 9%) cases were good recovery,17(4 3%) cases were moderate disability,8(2 0%) were severe disability,6(1 5%) were persistent vegetative state, 92(23 2%) died. 8(2 0%)were transfered to senior hospital. Conclusion CT scan possesses an advantage of simplifying and accuracy for the diagnosis of the serious craniocerebral injury.A perfect combined emergency method,which include a good first aid treatment,early diagnosis and operation,evacuation of hematoma,relieving cerebral compression and preventive complications can improve the cure rate,reduce the mortality and disability rate.