40例烧伤合并颅脑损伤的临床诊治体会

目的探讨烧伤合并颅脑损伤的诊治方法。方法回顾性分析40例烧伤合并颅脑损伤临床病例资料。结果本组40例,治愈30例,好转4例,自动出院4例,死亡2例。结论烧伤合并颅脑损伤抗休克治疗时不能限制补液量,但需增加胶体液比例;同时保持呼吸道通畅、积极预防应激性溃疡、积极处理烧伤创面、必要时需行紧急颅脑手术。

Clinical Diagnosis and Treatment of 40 Burn Patients with Severe Acute Brain Injury

Objective To explore the diagnosis and treatment of 40 burn patients with severe acute brain injury.Methods A total of 40 burn patients with severe acute brain injury who were hospitalized in our hospital from June 1998 to June 2008 were studied retrospectively.Results The results were very satisfactory.The curative rate was 75.0%(30/40),the death rate was 5.0%(2/40),and the rate of giving up treatment was 10.0%(4/40).Conclusion The burn patients with severe acute brain injury are easy to have serious complication during the treatment.Intensive management of airway,early incision of trachea and anti-acid therapy should be utilized to prevent the occurrence of complications.Appropriate measures could enhance the wound healing,reduce the hospitalization time and incidence of complication.