颅脑损伤合并失血性休克的诊治

目的 探讨颅脑损伤合并失血性休克患者的早期诊断和治疗。方法 回顾性分析了我院32例颅脑损伤合并失血性患者的救治经验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。全组恢复良好15例，轻残4例，中残2例，重残1例，植物生存2例，死亡8例，死亡率25％。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 Diagnosis and Emergency Treatment of the Head Injured Patients with Hemorrhagic Shock

Objective To investigate the early diagnosis and emergency treatment of head injury with hemorrhagic shock. Methods 38 cases of head injured patients with hemorrhagic shock were analyzed retrospectively, to summarize the causes, clinical characteristics, diagnoses and treatment strategies. Results Hemorrhage of compound injury was the main cause of shock. Among 32 cases of head injured patients with hemorrhagic shock, 15 cases with good outcomes, 4 with mild disability, 2 with moderate disability, 1 with severe disability, 2 vegetative state and 8 died. Conclusions The outcomes of the head injured patients with hemorrhagic shock may be improved if we are familiar with the clinical characteristics, diagnosis and treatment strategies.