重型颅脑损伤的救治 |
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引用本文: | 方宪清,郑志新,胡英明.重型颅脑损伤的救治[J].实用全科医学,2003,1(3):210-211. |
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作者姓名: | 方宪清 郑志新 胡英明 |
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作者单位: | 安徽省黄山市人民医院脑外科
242700(方宪清,郑志新),安徽省黄山市人民医院脑外科 242700(胡英明) |
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摘 要: | 目的 总结 2 6 8例重型颅脑损伤病人的救治经验。方法 对我科收治的重型颅脑损伤 2 6 8例进推行回顾性分析。结果 2 6 8例中存活 191例 (71.4%)其中恢复良好 10 1例 ,中残 42例 ,重残 48例 ,死亡 77例 (2 8.6 %)。结论 尽早清除颅内血肿 ,大骨瓣减压 ,呼吸机辅助呼吸 ,维持内环境稳定及防止并发症等措施 ,是改善本病病人预后的重要措施。
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关 键 词: | 重型颅脑损伤 治疗 预后 |
修稿时间: | 2003年4月16日 |
Cure for Severe Head Injury |
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Abstract: | Objective To summarize the therapeutic experience of traumatic head injury. Methods The clinical materials of 268 cases with severe head injury were analyzed retrospectively. Results 77 cases died (28.6%). 191 cases (71.4%) survived after treatment, in which 101 cases (37.7%) with a good recovery, 42 cases (15.7%) with moderate disability, and 48 cases (17.9%) with severe deficits. Conclusions Favourable prognosis is possibly for the sever head injury patients by evacuating intracranial hematoma, decompressing intracranial pressure, assisting ventilation with respirator, keeping the stability of internal environment, and preventing the complications. |
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Keywords: | Severe head injury Therapy Prognosis |
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