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Clinical experience of the management for the most severely head—injured patients with GCS score of 3
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
作者姓名:汪基尧 董吉荣 等
作者单位:[1]DepartmentofNeurosurgery,ChangzhengHospital,SecondMilitaryMedicalUniversity,Shanghai200003,China [2]Depa,ChangzhengHospital,SecondMilitaryMedicalUniversity,Shanghai200003,China
摘    要:TDepartmentofNeurosurgery,ChangzhengHospital,SecondMilitaryMedicalUniversity,Shanghai200003,China(JiangJY,DongJR,YuMK,ZhuC)heprognosisofmostseverelyheadinjuredpatientswithGlasgowComaScale(GCS)of3pointsisstilldiscouraging,becausetheirmortalityisalmos…

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
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.
Keywords:Glasgow coma scale Head injuries Prognosis
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