210例重型颅脑损伤病死率的探讨

目的探讨降低重型颅脑损伤病死率的方法。方法回顾性总结了1996年1月至2007年12月收治的210例重型颅脑损伤，依时间顺序分为三组：A组，1996年1月至1999年12月70例；B组，2000年1月至2003年12月73例；C组，2004年1月至2007年12月67例。A、B、C组手术数分别为34例、48例、42例，手术率分别为48．5％、65．7％、62．6％。结果收治重型颅脑损伤210例，死亡102例，病死率为48．5％，B组手术率最高，病死率最低，早期手术病死率低于晚期手术病死率。结论为了降低病死率，适宜的手术率是基础，颅内血肿的早期诊断、早期手术是关键，综合性治疗是不可忽视的因素。

Study on the mortality of 210 patients with severe brain injury

Objective To explore the therapy of lowering the mortality of severe brain injury. Methods From January 1996 to December 2007, 210 cases of severe brain injury were divided into three groups according to the admission time： with 70 eases in A group ,73 cases in B group and 67 cases in C group. 34,48 and 42 patients were treated with surgery in A, B and C group, respectively. Results Of 210 patients with severe brain injury, 102 cases died with the death rate 48.5%. Early surgical mortality was less than late mortality. Conclusion In order to reduce the mortality the early diagnosis and early operation of intracranial hematoma is the key to a comprehensive treatment.