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目的总结重型颅脑损伤合并胸腹伤伴休克患者的救治经验。方法对2001年1月至2008年9月间收治的49例重型颅脑损伤合并胸腹伤伴休克患者的临床资料进行回顾性分析。结果治愈17例(34.7%),轻残6例(12.2%),重残10例(20.4%),植物生存5例(10.2%),死亡11例(22.4%)。结论对重型颅脑损伤合并胸腹伤伴休克者,应早期迅速查明休克原因,有指征者及时手术,必要时两个部位同时手术以挽救患者的生命。
Objective To summarize the experience of treatment of patients with severe craniocerebral injury complicated with chest and abdomen injury and shock. Methods The clinical data of 49 patients with severe craniocerebral injury complicated with chest and abdomen injury and shock admitted from January 2001 to September 2008 were analyzed retrospectively. Results: 17 cases were cured (34.7%), 6 cases were mild disabled (12.2%), 10 cases were severe disability (20.4%), 5 cases were plant survival (10.2%) and 11 died (22.4%). Conclusion Severe craniocerebral injury combined with chest and abdomen injury should promptly identify the cause of shock early, there are indications of timely surgery, if necessary, two parts simultaneously surgery to save the lives of patients.