| 轻度低温治疗重症颅脑损伤 |
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| 引用本文： | 马玉龙,刘家传,王海林,王金标,周治民,张永明. 轻度低温治疗重症颅脑损伤[J]. 安徽医学, 2002, 23(5): 16-17. DOI: 10.3969/j.issn.1000-0399.2002.05.006 |
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| 作者姓名： | 马玉龙 刘家传 王海林 王金标 周治民 张永明 |
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| 作者单位： | 230031,合肥,解放军第105医院神经外科;230031,合肥,解放军第105医院神经外科;230031,合肥,解放军第105医院神经外科;230031,合肥,解放军第105医院神经外科;230031,合肥,解放军第105医院神经外科;230031,合肥,解放军第105医院神经外科 |
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| 摘 要： | 目的探讨35℃±0.5℃的轻度低温水平对重症颅脑损伤的治疗效果.方法对22例GCS为8分以下重症颅脑损伤患者在常规治疗基础上实施肛温为35℃±0.5℃轻度低温治疗,并与45例常规治疗组对照观察,观察其预后、血糖水平、并发症情况.结果治疗组良好率36.4%,对照组为26.7%(P＜0.01),血糖水平控制优于对照组(P＜0.05),并发症发生情况两组无明显差异(P＞0.05),未发生心律失常、顽固的上消化道出血以及复温时的反跳性高热、休克等不良反应.结论35℃±0.5℃的轻度低温水平对重症颅脑损伤具有良好的治疗效果.
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| 关 键 词： | 轻底低温 重型颅脑损伤 预后 |
| 修稿时间： | 2002-06-21 |
Effect of mild hypothermia in patients with severe traumatic brain injury |
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| Ma Yulong,Liu Jiachuan,Wang Hailin,et al. Effect of mild hypothermia in patients with severe traumatic brain injury[J]. Anhui Medical Journal, 2002, 23(5): 16-17. DOI: 10.3969/j.issn.1000-0399.2002.05.006 |
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| Authors: | Ma Yulong Liu Jiachuan Wang Hailin et al |
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| Affiliation: | Ma Yulong,Liu Jiachuan,Wang Hailin,et al Department of Neurosurgery,The 105 th Hospital of PLA,Hefei 230031 |
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| Abstract: | Objective To investigate the effect of mild hopythermia in patients(35℃±0.5℃) with severe traumatic brain injury. Method Twent-two patients suffered from severe traumatic brain injury(GCS scores 3-8) were treated with conven-tional therapy and mild hopythermia;meanwhile,forth-five patients suffered from severe traumatic brain injury(GCS scores 3-8) were treated with conventional therapy only. Prognosis?blood sugar and complications were observed. Results Good recovery was 36.4% in hopythermia group,and 26.7% in control group( P <0.01). Hyperglycemia of hopythermia group decreased significantly compared with that of control group( P <0.05). Complications hed no significant difference betwean groups. And arrhythmia?obstinaled upper digestive tract hemorrhage?rebound hyperthermia and shock didit occur. Conclusion Hopythermia(35℃±0.5℃) is effective in preventing brain damage. |
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| Keywords: | Mild hopythermia Severe brain injury Outcome |
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