重型颅脑损伤合并脑疝急救研究

目的：探讨重型颅脑损伤合并脑疝急救措施。方法：回顾分析68例重型颅脑损伤合并脑疝患者临床资料，总结急救措施。结果：29例（42．6％）恢复良好，14例（20．6％）中残，12例（17．7％）重残，3例（4．4％）植物生存，10例（14．7％）死亡。结论：早期密切观察病情和积极施救能够为重型颅脑损伤合并脑疝的手术治疗创造有利条件，根据病情合理选择术式有利于改善临床预后。

Early observation and first aid of severe craniocerebral injury combined with cerebral hernia

Objective：To investigate the early clinical observations and first aid measures of severe craniocerebral injury combined with cerebral hernia.Methods： The clinical data of 68 patients with severe cranioeerebral injury combined with cerebral hernia was retrospectively analyzed for summary of the early clinical observation, emergency measures and clinical outcomes. Results： 29 cases （42.6%）were good recovery, 14 cases（20.6% ）were in damage, 12 cases（ 17.7% ）were severe disability, 3 cases（4.4% ）were plant survival, 10 eases （14.7%）were died. Conclusion： Early close observation and active rescue hernia surgery can create favorable conditions for the surgical treatment of severe craniocerebral injury combined with cerebral hernia patients, according to the condition a reasonable choice of surgical help to improve clinical outcomes, reasonable choice of surgical according to the condition can help to improve clinical outcomes.