| Clinical experience of the management for the most severely head—injured patients with GCS score of 3 |
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| 引用本文： | 汪基尧,董吉荣,等.Clinical experience of the management for the most severely head—injured patients with GCS score of 3[J].中华创伤杂志(英文版),1999,2(2):67-69. |
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| 作者姓名： | 汪基尧 董吉荣 |
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| 作者单位： | [1]DepartmentofNeurosurgery,ChangzhengHospital,SecondMilitaryMedicalUniversity,Shanghai200003,China [2]Depa,ChangzhengHospital,SecondMilitaryMedicalUniversity,Shanghai200003,China |
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| 摘 要： | ＴＤｅｐａｒｔｍｅｎｔｏｆＮｅｕｒｏｓｕｒｇｅｒｙ，ＣｈａｎｇｚｈｅｎｇＨｏｓｐｉｔａｌ，ＳｅｃｏｎｄＭｉｌｉｔａｒｙＭｅｄｉｃａｌＵｎｉｖｅｒｓｉｔｙ，Ｓｈａｎｇｈａｉ２００００３，Ｃｈｉｎａ（ＪｉａｎｇＪＹ，ＤｏｎｇＪＲ，ＹｕＭＫ，ＺｈｕＣ）ｈｅｐｒｏｇｎｏｓｉｓｏｆｍｏｓｔｓｅｖｅｒｅｌｙｈｅａｄｉｎｊｕｒｅｄｐａｔｉｅｎｔｓｗｉｔｈＧｌａｓｇｏｗＣｏｍａＳｃａｌｅ（ＧＣＳ）ｏｆ３ｐｏｉｎｔｓｉｓｓｔｉｌｌｄｉｓｃｏｕｒａｇｉｎｇ，ｂｅｃａｕｓｅｔｈｅｉｒｍｏｒｔａｌｉｔｙｉｓａｌｍｏｓ…
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| 关 键 词： | 重度头部损伤 格拉斯哥分级 管理 |
Clinical experience of the management for the most severely head injured patients with GCS score of 3 |
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| Abstract: | Objective: To summarize the therapeutic experience of 24 patients of traumatic head injuries with GCS score of 3. Methods: Twenty four most severely head injured patients with GCS score of 3 who were admitted to our department from Jan 1995 to Mar 1998 were retrospectively analyzed. Results: Twelve cases (50.0%) survived, of which 7 cases (29.2%) had good recovery or moderate disability and 5 cases with severe deficits (20.8%), and the other 12 died (50.0%) after therapy. Conclusions: The prognosis of most severely head injured patients with GCS score of 3 could be improved by early intracranial hematoma removal with large decompressive craniotomies, early moderate hypothermia therapy, early assistant ventilation and effective prevention and treatment of complications. |
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| Keywords: | Glasgow coma scale Head injuries Prognosis |
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