46例高原重型颅脑损伤救治体会

目的总结高原重型颅脑损伤患者的伤情特点与手术、治疗经验。方法回顾性分析我院2002年1月以来收治46例重型颅脑损伤患者的临床资料,包括伤情特点、治疗特点、手术方式及预后等。结果恢复良好24例,轻度残疾16例,重度残疾3例,死亡3例。结论高原重型颅脑损伤有不同于平原地区的特点,高原缺氧是影响其救治与预后的关键。分秒必争的早期手术、充分有效的给氧与抗高原脑水肿治疗是影响康复的重要因素。

Experience in Treating 46 Cases of Severe Craniocerebral Trauma at High Altitude

Objective To summarize the trauma features, surgery and treatment. Methods A retrospective analysis was made to the clinical data of 46 cases of severe craniocerebral trauma since 2002. Results 24 cases had good recovery, 16 cases got slight disability, 3 cases got severe disability and 3 cases died. Conclusions Severe craniocerebral trauma at high altitude is featured differently from that at plain and high-altitude anoxia is the key factor which determines the curative effect and prognosis; early operation, sufficient oxygen inhalation and anti-cerebral edema therapy are important for effective treatment and good recovery.