重度颅脑损伤68例临床分析

[目的]总结68例重度颅脑损伤病人的救治经验。[方法]对本科2001年2月至2001年8月收治的重度颅脑损伤病人进行回顾性研究。[结果]手术治疗46例，非手术治疗22例。结果优良26例．中残12例，重残11例．植物状态3例．死亡16例。[结论]重度颅脑损伤应重视早期有效的抢救。尽早清除颅内血肿．充分脑减压．早期亚低温治疗．呼吸机辅助呼吸．维持内环境稳定及防治并发症等措施。可提高救治成功率．改善预后。

Clinical Analysis of 68 Cases of Severe Craniocerebral Injury

ObjectiveTo review the clinical experience of 68 cases with severe craniocerebral injury.Sixty-eight patients with severe craniocerebral injury treated in our department between Feb.2001 to Aug.2004. were studied retrospectively.Fourty-six of 68 cases were treated with operation and 22 cases with medicines only. As a result, 26 cases of these patients were in good condtion, 12 cases mildly disabled, 11 cases severely disabled, 3 cases in vegetable-state and 16 dead.[Conclusion]The early and effective salvage should be emphasized on severe craniocerebral injury cases. Removal of the intracranicl hematoma as early as possible, effective brain decompression, early moderate-mild hypothermia therapy, respiration support, stable inner citcumstance and prevention of complication would increase the rate of successful treatment and improve prognosis.