论文部分内容阅读
颅脑损伤的并存常会给腹部闭合性损伤诊断和治疗带来很大困难。尽早发现腹部伤尤为重要。我院1989-2001年共收治腹部闭合伤合并颅脑伤74例,现就早期诊治中的体会总结如下。1临床资料1.1一般资料男56例,女18例,年龄10-76岁,平均年龄41.2岁。致伤原因:交通事故47例,坠落伤14例,其他原因13例,伤后就诊时间10min-6h。1.2颅脑损伤情况脑震荡13例,脑挫裂伤16例,蛛网膜下腔出血14例,硬膜外出血17例,硬膜下血肿11例,脑疝3例。按昏迷评分(GCS)判定,轻度17例,中度44例,重度13例。
The coexistence of traumatic brain injury often will bring great difficulties to the diagnosis and treatment of closed abdominal injury. Abdominal injury is particularly important as soon as possible. Our hospital from 1989 to 2001 were treated closed abdominal injury with craniocerebral injury in 74 cases, now on the early diagnosis and treatment of the experience is summarized as follows. 1 Clinical data 1.1 General information 56 cases of male and female 18 cases, aged 10-76 years, mean age 41.2 years. Causes of injury: 47 cases of traffic accidents, crashes in 14 cases, 13 cases of other causes, post-injury treatment time 10min-6h. 1.2 brain injury in 13 cases of concussion, cerebral contusion in 16 cases, 14 cases of subarachnoid hemorrhage, epidural hemorrhage in 17 cases, 11 cases of subdural hematoma, hernia in 3 cases. According to the coma score (GCS) judgment, mild in 17 cases, moderate in 44 cases, severe in 13 cases.