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目的探讨重度颅脑损伤患者合并多发伤的救治。方法对133例重度颅脑损伤合并多发伤救治进行分析。结果脑干功能衰竭、严重休克、严重肺部感染、肺挫伤、多脏器功能衰竭是重度颅脑损伤主要致死原因。结论高度重视重度颅脑损伤合并多发伤脑干损伤、脑疝、休克的早期诊断,积极预防、处理脑干损伤、脑疝、休克、感染和多脏器功能衰竭是抢救成功的关键,也是降低病死率和致残率的重要措施。
Objective To investigate the treatment of severe traumatic brain injury combined with multiple trauma. Methods 133 cases of severe traumatic brain injury with multiple trauma were analyzed. Results Brain stem failure, severe shock, severe pulmonary infection, pulmonary contusion and multiple organ failure were the main causes of death in severe craniocerebral injury. Conclusion The importance of early diagnosis of severe traumatic brain injury complicated with multiple traumatic brain stem injury, hernia and shock, active prevention and treatment of brain stem injury, hernia, shock, infection and multiple organ failure is the key to successful rescue as well as reducing Fatality and morbidity rate of important measures.