| 特重型颅脑损伤27例临床分析 |
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| 引用本文： | 孙含蓄,孙世远. 特重型颅脑损伤27例临床分析[J]. 中国煤炭工业医学杂志, 2003, 6(9): 799-800 |
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| 作者姓名： | 孙含蓄 孙世远 |
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| 作者单位： | 473010,河南省南阳市第一人民医院神经外科 |
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| 摘 要： | 目的 总结27例特重型颅脑损伤的救治经验。方法 对我科收治的27例GCS3分特重型患者进行回顾性分析。结果 27例GCS3分特重型颅脑损伤存活10例(37％)，其中恢复良好和中残6例(22％)，重残4例(15％)，死亡17例(63％)。结论 尽早清除颅内血肿，去骨辩战压，早期亚低温治疗，保持内环境稳定及防治并发症等措施，可改善患者的预后。
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| 关 键 词： | 特重型颅脑损伤 外科手术 预后 临床表现 诊断 临床分析 治疗 |
| 文章编号： | 1007-9564(2003)09-0799-02 |
| 修稿时间： | 2003-02-17 |
CLINICAL ANALYSIS ON SEVERE CRANIOCEREBRAL INJURY IN 27 CASES |
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| Sun Hanxu,Sun Shiyuan. CLINICAL ANALYSIS ON SEVERE CRANIOCEREBRAL INJURY IN 27 CASES[J]. Chinese Journal of Coal Industry Medicine, 2003, 6(9): 799-800 |
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| Authors: | Sun Hanxu Sun Shiyuan |
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| Affiliation: | Sun Hanxu,Sun Shiyuan.Department of neurosurgery,The First People's Hospital of Nanyang,Nanyang 473010 |
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| Abstract: | Objective To summarize the therapeatic experience of 27 patients with severe craniocerebal injury. Methods 27 cases with severe craniocerebral injury of GCS score 3 who admitted to our department were analyzed retrospectively. Results 10 (37%) of 27 cases survived, in which 6 cases(22%) had a good recovered or moderate disability and the other 4 cases with severe deficits(17%). 17 of 27 cases dead(63%). Conclusion The prognosis of severe craniocerebral injured patients of GCS score 3 could be improved by methods as follows: evacuation of intracranial hematoma as early as possible, decompressive cranietomies, early moderate therapy, keep stableness of internal environment and effective prevention and treatment of complications. |
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| Keywords: | severe craniocerebral injury therapy prognosis |
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