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目的探讨颅脑损伤合并胸腹联合伤的治疗。方法先行抗休克治疗,稳定收缩血压在68 mm Hg,根据伤情决定手术方式。若为脏器破裂大出血,则采取边抗休克边手术方式进行。若颅脑损伤与胸腹伤均危及患者生命,则需多科协作实行手术治疗。结果按格拉斯哥预后评分(GCS)判定,死亡27例,良好49例,中残7例,重残4例,植物生存1例。结论颅脑损伤合并胸腹联合伤患者,应早期诊断,积极抢救。经过正确及时的治疗,可获得满意的治疗效果。
Objective To investigate the treatment of traumatic brain injury combined with thoracoabdominal injury. Methods First anti-shock treatment, stable systolic blood pressure at 68 mm Hg, according to the injury to determine the surgical approach. If the organ rupture bleeding, then the side of anti-shock surgery. If craniocerebral injury and chest and abdomen injuries are endangering the lives of patients, you need multidisciplinary collaboration in surgical treatment. Results According to the Glasgow Outcome Scale (GCS), there were 27 deaths, 49 good cases, 7 cases of moderate disability, 4 cases of severe disability and 1 case of plant survival. Conclusion Patients with craniocerebral injury combined with thoracoabdominal and abdominal injuries should be diagnosed early and actively treated. After the correct and timely treatment, can be satisfied with the treatment effect.