小儿急性颅脑外伤的麻醉处理

目的总结小儿急性颅脑外伤的麻醉处理,探讨麻醉处理对小儿颅脑损伤预后的影响.方法回顾性分析43例急性颅脑损伤患儿麻醉处理及临床资料.结果43例病人恢复良好者为81.41%,轻、中度致残者15.04%,死亡率4.64%.结论小儿颅脑外伤虽然起病急,进展快,但是儿童颅脑损伤一旦渡过急性期,神经恢复较快,后遗症少.故恰当有效的麻醉处理对儿童的恢复有重要意义.

Anesthetic management for acute pediatric craniocerebral injury

Objective To analyze and generalize the anesthetic management and to explore the determinants of outcome in acute pediatric traumatic craniocerebral injury.Methods The anesthetic and clinical data of 43 patients with acute head trauma were reviewed retrospectively.Results Of 43 patients with acute head trauma, 81.41% were recovered well and quickly, 15.04% were recovered with mild or moderate disability. There were two deaths; the overall mortality was 4.65%.Conclusion Traumatic craniocerebral injury is very common and develops quickly in children. If only the children with craniocerebral injury can pass through acute period successfully, they have higher survival rate and little complication. So the prompt and effective anesthetic management plays an important role in achieving good outcome