颅脑损伤伴失血性休克的早期诊治

目的 探讨颅脑损伤伴失血性休克的早期诊断及急救治疗。方法 对38例伴有失血性休克的颅脑损伤病人进行回顾性分析，总结失血性休克的原因、临床特点、早期诊断及治疗方法。结果 合并伤失血是失血性休克的主要原因，38例病人轻度休克7例，中重度休克31例，27例休克得到纠正。开颅手术治疗19列，开颅并开腹手术11例，8例保守治疗，死亡11例占28.9%，其中死于脑干功能衰竭7例，死于休克4例。结论 熟悉颅脑损伤伴失血性休克的临床特点，早期诊断并及时准确处理是挽救此类病人生命的关键。

The early diagnosis and emergency treatment of head injured patients with hemorrhagic shock

Objective To investigate the early diagnosis and emergency treatment of head injury with hemorrhagic shock.Methods 38 head injured patients with hemorrhagic shock were analysed retrospectively,to summarize the causes,clinical characters,diagnoses and treating methods.Results Hemorrhage of compound injury was the main cause of shock.Among 38 head injured patients with hemorrhagic shock,7 cases were mild hemorrhagic shock and 31 cases were moderate or severe hemorrhagic shock,27 cases were resuscitated,19 cases had been treated with craniotomy,11 cases had been treated with exploratory laprotomy and craniotomy,8 cases had been treated with conservative treatment,11 patients died(28.9%)after therapy,7cases died from brain stem failure and 4 cases died from hemorrhagic shock.Conclusion Some of the head injured patients with hemorrhagic shock can be saved if we are familiar with the clinical characters,diagnosis and treating methods.