论文部分内容阅读
目的:总结分析1387例重型颅脑损伤的救治情况,以利在今后的工作中进一步改善和提高对重型颅脑损伤的救治水平。方法:回顾性分析1983年1月~2008年1月间1387例重型颅脑损伤患者的救治情况。结果:1387例重型颅脑损伤患者,其中手术治疗857例,非手术治疗530例。按GOS评分,出院时恢复良好475例(34.2%),中残206例(14.8%),重残202例(14.5%),植物生存89例(6.4%),死亡415例(29.9%)。结论:重型颅脑损伤仍然具有较高的病死率和致残率,早期及时手术清除颅内血肿,解除脑疝以及采取积极恰当的综合治疗措施是抢救治疗成功的关键。
OBJECTIVE: To summarize and analyze the treatment of 1387 cases of severe craniocerebral injury, in order to further improve and improve the treatment of severe craniocerebral injury in future work. Methods: A retrospective analysis of January 1983 to January 2008 1387 cases of severe head injury treatment. Results: Of the 1387 patients with severe traumatic brain injury, 857 were treated surgically and 530 were treated non-surgically. According to the GOS score, 475 cases (34.2%) recovered well after discharge, 206 cases (14.8%) had severe disability, 202 cases (14.5%) had severe disability, 89 cases (6.4%) had plant survival and 415 cases died (29.9%). Conclusion: Severe craniocerebral injury still has high mortality and morbidity. Early and timely surgical removal of intracranial hematoma, relieving herniation, and taking positive and appropriate comprehensive treatment measures are the keys to successful treatment.