重型颅脑损伤后吸入性肺炎治疗体会

目的　探讨重型颅脑损伤后吸入性肺炎的早期诊断、监护及治疗。方法　 2 4例重型颅脑损伤合并肺部并发症患者 ,在进行监护同时 ,早期行气管切开 ,机械通气、控制感染等措施。结果　 2 4例中痊愈 15例 ,9例因呼吸衰竭死亡 ,病死率 38%。结论　系统呼吸功能监护 ,早期气管切开和机械通气治疗是纠正低氧血症 ,降低病死率的重要措施。

Diagnosis and treatment of inspiratory pneumonia in patients with severe craniocerebral injuries

Objective The authors conducted a retrospective analysis to evaluate the advantages of early diagnosis,and consecutive monitoring in the management of patients with severe craniocerebral injuries.Method The data of 24 cases suffering from inspiratory pneumonia after severe brain injuries were retrospsetively analyzed.All these patients underwent reduplicative airway suctions,early tracheotomy,mechanical ventilation,and control of infection at the time of systematic respiratory monitoring.Results Of the 24cases diagnosed as having pulmonic complication,15 were cured,9 finally died of respiratory failure.Conclusion The authors concluded the systematic respiratory monitoring coupled with early tracheotomy and mechanical ventilation was the effective measures for reduction of mortality of patients with severe traumatic brain injuries