颅脑外伤致双侧瞳孔散大患者术后的预后分析

目的 :探讨降低脑外伤后双侧瞳孔散大患者的死亡率和提高生存质量的方法和影响因素。方法 :6 0例双侧瞳孔散大患者急症手术 (去大骨瓣减压 ,漂浮法脑疝复位术 ) ,术前脱水药物及大剂量激素冲击 ,术后给予ICU监护及早期良好的神经营养药物 ,并控制中枢性高热 ,及维持通气并改善缺氧。结果 :共存活 4 7例 ,GCS >8分 2 4例 ,植物存活 2 3例 ,死亡 13例。结论 :救助生存率逐年升高 ,但植物存活的患者机率较高。影响预后因素与开始手术时间的快慢、瞳孔散大的速度、受伤部位及年龄大小的关系密切

Postoperative Prognosis Analysis of Patients with Mydriasis Caused by Craniocerebral Trauma

Objective:To explore the ways to decrease the mortality of patients with mydriasis in both eyes caused by craniocerebral trauma and improve their living quality and approach the factors affecting the results.Methods:fThe emergency operation was performed on 60 cases of mydriasis.Before operation the aggressive dosages of dehydrate medicines and hormones were given,after operation ICU monitoring was practised and valuable nutritive drugs were offered.Attention must be directed to controlling the central high temperature,keeping on breath unimpeded and improving oxygen supply.Results:47 cases survived,from them GCS of 24 cases was over 8,and 23 cases became vegetable men.13 cases died.Conclusion: The survival rate of this kind of injured patients is increasing year by year, but the patients being in a state of vegetable survivoship are present in a high percentage.The time of starting with operation,the speed of mydriasis,the injured site and patient age are the important factors affecting the prognosis.