目的:总结分析1387例重型颅脑损伤的救治情况,以利在今后的工作中进一步改善和提高对重型颅脑损伤的救治水平。方法:回顾性分析1983年1月~2008年1月间1387例重型颅脑损伤患者的救治情况。结果:1387例重型颅脑损伤患者,其中手术治疗857例,非手术治疗530例。按GOS评分,出院时恢复良好475例(34.2%),中残206例(14.8%),重残202例(14.5%),植物生存89例(6.4%),死亡415例(29.9%)。结论:重型颅脑损伤仍然具有较高的病死率和致残率,早期及时手术清除颅内血肿,解除脑疝以及采取积极恰当的综合治疗措施是抢救治疗成功的关键。
Citation:
YANG Qing,ZHOU Mingsen,WU Jianbo,et al.. Analysis of Treatment Results of 1387 Patients with Severe Cranio-cerebral Injury. West China Medical Journal, 2009, 24(1): 6-19. doi:
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1. |
Luerssen TG,Klauber MR,Marshall LF.Outcome from head injury related to patients age:a longitudinal prospective study of adult and pediatric head injury[J].J Neurosurg,1998,68(2):409-411..
|
2. |
王忠诚.神经外科学[M].第2版.湖北:湖北科学技术出版社,1998:297..
|
3. |
Choi SC,Muizelear JP,Barnes TY,et al.Prediction tree for severely headinjured patients[J].J Neurosurg,1991,75(1):251-252..
|
4. |
Soukiasian HJ,Hui T,Avital I,et al.Decompressive craniectomy in trauma patients with severe brain injury[J].Am Surg,2002,68(12):1066-1071..
|
5. |
LippertGruner M,Wedekind C,Klug N.Outcome of prolonged coma following severe traumatic brain injury[J].Brain Inj,2003,17(1):49-54..
|
- 1. Luerssen TG,Klauber MR,Marshall LF.Outcome from head injury related to patients age:a longitudinal prospective study of adult and pediatric head injury[J].J Neurosurg,1998,68(2):409-411..
- 2. 王忠诚.神经外科学[M].第2版.湖北:湖北科学技术出版社,1998:297..
- 3. Choi SC,Muizelear JP,Barnes TY,et al.Prediction tree for severely headinjured patients[J].J Neurosurg,1991,75(1):251-252..
- 4. Soukiasian HJ,Hui T,Avital I,et al.Decompressive craniectomy in trauma patients with severe brain injury[J].Am Surg,2002,68(12):1066-1071..
- 5. LippertGruner M,Wedekind C,Klug N.Outcome of prolonged coma following severe traumatic brain injury[J].Brain Inj,2003,17(1):49-54..