| 早期气管切开对重度颅脑外伤患者预后的影响 |
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| 引用本文： | 安刚,宁博,杨阳.早期气管切开对重度颅脑外伤患者预后的影响[J].齐齐哈尔医学院学报,2006,27(11):1292-1293. |
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| 作者姓名： | 安刚 宁博 杨阳 |
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| 作者单位： | 1. 江苏省徐州市中心医院神经外科,221009
2. 中国医科大学第一临床学院耳鼻咽喉科 |
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| 摘 要： | 目的探讨早期气管切开对重度颅脑外伤患者预后的影响。方法回顾156例重度颅脑外伤患者,按气管切开的时间(<12小时,12~24小时,>24小时)分为A,B,C组,对其肺部感染发生率以及存活率进行比较。结果A组患者55例,B组患者49例,C组患者52例,肺部感染发生率分别为45.45%(25/55),55.10%(27/49),78.85%(41/52),差异有显著性(P<0.05);死亡率分别为47.27%(26/55),59.18%(29/49),73.08%(38/52),差异有显著性(P<0.05)。结论对重度颅脑外伤患者早期行气管切开术能有效的降低肺部感染的发生率,提高存活率。
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| 关 键 词： | 气管切开术 重度颅脑外伤 预后 |
| 收稿时间： | 2006-03-20 |
| 修稿时间： | 2006-03-20 |
The Effect of Early Tracheotomy in Severe Brain Injured Patients |
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| An Gang ,et al..The Effect of Early Tracheotomy in Severe Brain Injured Patients[J].Journal of Qiqihar Medical College,2006,27(11):1292-1293. |
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| Authors: | An Gang |
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| Institution: | The Central Hospital of Xuzhou,Xuzhou 221009 |
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| Abstract: | Objective To discuss the effect of early tracheotomy in severe brain injured patients. Methods According to the time(<12 hour,12~24 hour,>24 hour)of the neurosurgery it was grouped A,B and C,compared the rate of the pulmonary infection and the survival.Results It was performed on 55 patients in group A and 49 patients in group B and 52 patients in group C. The rate of the pulmonary infection respectively was 45.45%(25/55),55.10 %(27/49),78.85%(41/52),there was obvious difference(P<0.05); and the rate of the death was 47.27 %(26/55),59.18%(29/49),73.08%(38/52),there was obvious difference(P<0.05). Conclusions Early tracheotomy may efficiently reduce the rate of the pulmonary infection while may raise the rate of the survival in severe brain injured patients. |
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| Keywords: | Tracheotomy Severe brain injury Prognosis |
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