合并颅脑损伤四肢骨折的治疗探讨

目的探讨合并颅脑损伤的四肢骨折的治疗方法。方法对2003-01～2008—12收治的103例合并颅脑损伤的四肢骨折患者临床资料进行分析，格拉斯哥评分5-15分，早期手术内固定治疗50例，非手术治疗53例，比较两种不同方法的治疗效果。结果早期手术内固定组术后并发症发生率均低于非手术组，术后骨折复位情况、愈合及脑功能、肢体功能恢复均优于后者。结论对合并颅脑损伤的四肢骨折患者进行早期手术内固定，可显著降低死亡率，减少并发症的发生，有利于脑功能的恢复；恰当的局部处理，有利于全身的救治，而且为肢体的功能恢复创造条件。

Treatment of extremities fracture with brain injury

Objective To investigate the treatment methods of extremities fracture with brain injury. Methods The effect of surgical internal fixation and non-surgical treatment in 103 patients hospitalized from January 2003 to December 2008 were analyzed. According to Glasgow coma scale, the scores of brain injury ranged from 5 to 15. Among the patients, 50 were treated with early surgical internal fixation, and 53 were assigned to non-surgical treat- ment. Results Compared with non-surgical treatment, early surgical internal fixation showed advantages, such as low rate of complications, good reduction of the fracture, and fine resume of the brain and limb function. Conclusion For the treatment of extremities fracture with brain injury, early surgical internal fixation could significantly decrease the complications and death rate, and improve the recovery of brain function. Moreover, appropriate topic treatment is helpful to treatment of whole body injury, and creates conditions for the recovery of limb function.