颅脑损伤致死因素分析

目的　研究颅脑损伤的死亡因素。方法　回顾性分析我院 1994年 1月至 1999年 12月收治的785例颅脑损伤。结果　死亡 6 7例 ,病死率 8 5 %。死于脑挫裂伤、颅内血肿 48例 (71 6 % ) ;死于合并症或并发症 2 9例 (4 3 3% ) ,其中死于合并胸外伤 9例 (13 4% ) ,应激性溃疡 5例 (7 5 % ) ,室颤 3例 (4 5 % ) ,癫痫持续状态 2例 (3% ) ,颈髓损伤 1例 (1 5 % ) ,多器官功能衰竭 8例 (11 9% ) ,失血性休克 1例 (1 5 % )。结论　尽早解除脑部病变 ,保持呼吸道通畅 ,积极处理并发症 ,可提高颅脑损伤患者的生存率 ,降低致残率。

Analysis of the lethal factors of craniocerebral injury

Objective To study the lethal factors of craniocerebral injury.Methods 785 cases of craniocerebral injruy in our hospital between 1994 to 1999 were analyzed retrospectively.Results 67 cases died,and the mortality is 8.5%,48 died of contusion and laceration of brain or intracranial hematoma(71.6%);29 died of complications(43.3%).Among the 29 cases,9 died of concurrent thoracic injury(13.4%),5 died of stress ulcer(7.5%),3 died of ventricular fibrillation(4.5%),2 died of epilepticism(3%),1 died of cervical spinal cord trauma(1.5%),8 died of multiple organ dysfunction syndrome(MODS)(11.9%),and 1 died of hemorrhagic shock(1.5%).Conclusion Cerebral traucma should be tyeated as fast as possible the respiratory tract keeped unobstructed,complications managed promptly.All of these could improve the survival rate and cut down the morbidity of disability.