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亚低温治疗弥漫性轴索损伤69例临床观察
引用本文:李子坚,林言华,容耔耘,仇尔宁. 亚低温治疗弥漫性轴索损伤69例临床观察[J]. 临床和实验医学杂志, 2007, 6(9): 41-42
作者姓名:李子坚  林言华  容耔耘  仇尔宁
作者单位:佛山市顺德区第一人民医院神经外科,广东,佛山,528300;佛山市顺德区第一人民医院神经外科,广东,佛山,528300;佛山市顺德区第一人民医院神经外科,广东,佛山,528300;佛山市顺德区第一人民医院神经外科,广东,佛山,528300
摘    要:目的 探讨亚低温治疗弥漫性轴索损伤(DAI)的临床疗效.方法 将139例DAI患者随机分为亚低温组69例,常温组70例,比较两组治疗前后的脑组织氧分压、颅内压、血气分析、重要脏器功能指标及预后.结果 与对照组比较,治疗组亚低温治疗能显著提高患者脑组织氧分压(P<0.01)、提高恢复良好率(P<0.01),明显降低颅内压(P<0.01)和死亡率(P<0.05).结论 弥漫性轴索损伤早期辅助亚低温下综合治疗,可降低病死率和提高恢复良好率.

关 键 词:弥漫性轴索损伤  亚低温治疗  预后
修稿时间:2007-05-07

The therapeutic effect of sub-hypothermia on diffuse axonal injury (report of 69 cases)
LI Zi -jian, LIN Yanhua, RONG Zi- yun,et al.. The therapeutic effect of sub-hypothermia on diffuse axonal injury (report of 69 cases)[J]. Journal of Clinical and Experimental Medicine, 2007, 6(9): 41-42
Authors:LI Zi -jian   LIN Yanhua   RONG Zi- yun  et al.
Affiliation:LI Zi -jian, LIN Yanhua, RONG Zi- yun, et al.
Abstract:Objective To investigate the therapeutic effects of sub-hypothermia on diffuse axonal injury(DAI).Methods 139 patients with DAI were ramdomly assigned to receive sub-hypothermic or normothermic treatment.Results Compared with normothermic treatment,sub-hypothermic treatment was associated with significantly elevated brain tissure oxygen tension(P<0.01),higher recovery rate(P<0.01),reduced intracranial pressure(P<0.01)and mortality.Conclusion Sub-hypothermic treatment can improve patients' prognosis,lower mortality;it is a safe and effective treatment for diffuse axonal injury,deserve recommendation.
Keywords:Diffuse axonal injury  Sub-hypothermia  Prognosis
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