| 45例GCS 3分特重型颅脑伤病人临床救治经验 |
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| 引用本文： | 江基尧,龙连圣,刘兵,高国一,于明琨,朱诚.45例GCS 3分特重型颅脑伤病人临床救治经验[J].中华神经医学杂志,2002,1(1):22-23. |
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| 作者姓名： | 江基尧 龙连圣 刘兵 高国一 于明琨 朱诚 |
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| 作者单位： | 第二军医大学长征医院神经外科,上海市神经外科研究所,上海,200003 |
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| 摘 要： | 目的总结我科GCS 3分特重型颅脑伤病人的临床救治经验。方法对我科1995年1月~ 2001年1月收治的45例GCS 3分特重型颅脑伤病人进行回顾性总结。结果45例病人存活22例(48.9%)。其中恢复良好和中残10例(22.2%)、重残9例(20.0%)、植物生存3例(6.7%);另23例死亡(51.1%)。结论尽早清除颅内血肿、大骨瓣减压、早期亚低温治疗、呼吸机辅助呼吸、维持内环境稳定及防治并发症等措施,可显著改善GCS3分特重型颅脑伤病人的预后。
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| 关 键 词： | GCS3分 特重型颅脑伤 治疗 预后 |
| 文章编号： | 1671-8925(2002)01-022-02 |
| 修稿时间： | 2002年7月21日 |
Clinical experience of treating 45 cases with the most severe head injury of GCS 3 |
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| JIANG Jiyao,LONG Liansheng,LIU Bin,GAO Guoyi,YU Mingkun,ZHU Cheng.Clinical experience of treating 45 cases with the most severe head injury of GCS 3[J].Chinese Journal of Neuromedicine,2002,1(1):22-23. |
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| Authors: | JIANG Jiyao LONG Liansheng LIU Bin GAO Guoyi YU Mingkun ZHU Cheng |
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| Institution: | JIANG Jiyao,LONG Liansheng,LIU Bin,GAO Guoyi,YU Mingkun,ZHU Cheng Department of Neurosurgery,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China |
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| Abstract: | Objective To summarize the therapeutic experience of 45 treating patients traumatic head injuries of GCS 3. Methods45 most severe head injured patients with GCS 3 admitted to our department from Jan. 1995 to Jan. 2001 were retrospectively analyzed. Results22 cases (48.9%) survived, 10 of whichgot satisfactorily recovered or suffered from moderate disability(22.2%), 9 from severe deficits (20.0%), 3 from persistent vegetative state (6.7%) and the other 23 died (51.1%) after therapy. Conclu sion The prognosis of most severe head injured patients with GCS 3 can be improved by early intracranial hematoma removal with large decompressive cranietomies, early moderate hypothermia therapy, early assistant ventilation and effective prevention & treatment of complications. |
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| Keywords: | GCS 3 most severe head injury treatment prognosis |
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