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交通伤致弥漫性脑损伤的救治
引用本文:沈赓雄 陈震 吴小康. 交通伤致弥漫性脑损伤的救治[J]. 同济大学学报(医学版), 2005, 26(2): 83-84
作者姓名:沈赓雄 陈震 吴小康
作者单位:同济大学附属第十人民医院急诊科,上海,200072;同济大学附属第十人民医院急诊科,上海,200072;同济大学附属第十人民医院急诊科,上海,200072
摘    要:目的通过我科1998至2003年,回顾3700例交通伤分析,提高今后对颅脑伤及胸腹,四肢复合伤者的救治。方法回顾性分析1440颅脑外伤,CT,MRI检查情况,GCS计分情况。结果酒后开车肇事与弥漫性脑损伤至脑干损伤致死,有较好的对应关系,而亚低温治疗及时的外伤性骨瓣性开颅术能降低死残率。

关 键 词:交通伤  弥漫性脑损伤  亚低温治疗  骨瓣开颅术
文章编号:1008-0392(2005)02-083-02
修稿时间:2005-01-06

Treatment of Diffuse Brain Injury of Traffic Trauma
SHEN Geng-xiong,CHEN Zhen,WU Xiao-kang. Treatment of Diffuse Brain Injury of Traffic Trauma[J]. Journal of Tongji University(Medical Science), 2005, 26(2): 83-84
Authors:SHEN Geng-xiong  CHEN Zhen  WU Xiao-kang
Abstract:Objective To investigate the treatment of cra ni ocerebral- thoracicoabdominal- limb compound injury through the analysis of 3 700 traffic trauma cases treated in our department.from 1998 to 2003. Methods 1440 craniocerebral injury cases were retrospecti vely investigated.The CT and MRI were examined.The GCS score were assessed. Results Death of the diffuse brain injury and brainstem i njury cases were mostly related to drinking-driving traffic accidents.The morta lity and invalidism rates could be degraded with proper,prompt treatments of tra uma craniectomy and moderate hypothermia.Conclusion
Keywords:traffic trauma  diffuse brain injury  moderat e hypothermia  trauma craniectomy 
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