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目的总结重型颅脑损伤(SCCI)患者的治疗经验,探讨有效的治疗方法,不断提高救治水平。方法对我科近5年收治的138例重型颅脑损伤患者就致伤原因、临床特征、抢救措施、手术方式及预后状况进行回顾性分析。结果存活110例(79.7%),死亡28例(20.3%),其中恢复良好86例(62.3%),中残12例(8.7%),重残6例(4.3%),植物生存6例(4.3%)。结论正确有效地急性期抢救,及时的手术减压和妥善脑保护、维持有效的脑灌注压、加强术后的监护和处理合并伤,防治并发症等措施,可明显改善患者的预后,提高救治成功率。
Objective To summarize the treatment experience of patients with severe craniocerebral injury (SCCI), explore effective treatment methods and continuously improve the treatment level. Methods Retrospective analysis was made on the causes of injury, clinical features, rescue measures, operation methods and prognosis in 138 cases of severe traumatic brain injury admitted to our department in recent 5 years. Results Survival was in 110 cases (79.7%) and death was 28 (20.3%), of which 86 cases (62.3%) were recovered well, 12 cases (8.7% 4.3%). Conclusions Proper and effective emergency treatment, timely surgical decompression and proper brain protection, maintaining effective cerebral perfusion pressure, strengthening postoperative care and treatment of combined injury, prevention and treatment of complications can significantly improve the prognosis of patients and improve treatment Success rate.