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目的探讨外伤性弥漫性脑肿胀的治疗方法。方法对113例外伤性弥漫性脑肿胀患者的治疗进行分析。结果保守治疗组Ⅰ级死亡36例,Ⅱ级植物生存5例,Ⅲ级重残3例,Ⅳ级中残4例,Ⅴ级良好2例;手术组Ⅰ级死亡33例,Ⅱ级植物生存7例,Ⅲ级重残2例,Ⅳ级中残5例,Ⅴ级良好15例。总死亡率为61%。结论该病的治疗方法主要综合治疗,有手术指征的,尽早积极手术,能提高生存率,降低死亡率。
Objective To investigate the treatment of traumatic diffuse brain swelling. Methods The treatment of 113 patients with traumatic diffuse brain swelling was analyzed. Results In the conservative treatment group, there were 36 cases in grade Ⅰ, 5 in grade Ⅱ, 3 in grade Ⅲ, 4 in grade Ⅳ and 2 in grade Ⅴ. There were 33 deaths in grade Ⅰ and 7 in grade Ⅱ For example, grade Ⅲ severe disability in 2 cases, grade Ⅳ in 5 cases, grade Ⅴ good in 15 cases. The overall mortality rate was 61%. Conclusion The treatment of the disease is the main comprehensive treatment, with surgical indications, as soon as possible active surgery, can improve survival and reduce mortality.