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21例GCS 3分特重型颅脑伤病人救治经验 被引量:354

Clinical experience of management for the most severe head injured patients with a GCS score of 3(a report of 21 cases)
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摘要 目的总结21例GCS3分特重型颅脑伤病人的救治经验。方法对我科1995年1月至1997年6月收治的GCS3分特重型颅脑伤病人进行回顾性总结。结果21例GCS3分特重型颅脑伤存活9例(43%),其中恢复良好和中残5例(23%),重残4例(19%),死亡12例(57%)。结论尽早清除颅内血肿、大骨瓣减压,早期亚低温治疗、呼吸机辅助呼吸、维持内环境稳定及防治并发症等措施。 Objective To summarize the therapeutic experience of 21 patients of traumatic head injuries with a score of 3 on GCS. Methods 21 most severe head injuried patients with a score of 3 on GCS who admitted to our department from Jan. 1995 to July 1997 were analyzed retrospectively. Results 9 cases(42%) survived in which 5 cases(23%) had a good recovery or moderate disability, and other 4 cases with severe deficits(19%). The other 12 dead(57%) after therapy. Conclusion The prognosis of most severe head injured patients with a score of 3 on GCS could be improved by early evacuation of intracranial hematoma with large decompressive cranietomies, early moderate hypothermia therapy, early assistent ventilation and effective prevention and treatment of complications.
出处 《中华神经外科杂志》 CSCD 北大核心 1999年第1期7-9,共3页 Chinese Journal of Neurosurgery
关键词 GCS3分 特重型 治疗 预后 颅脑损伤 GCS score 3 Most severe head injury Prognosis
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  • 2江基尧 朱诚 等.亚低温对实验性颅脑伤后神经功能的保护作用[J].中华神经外科杂志,1994,10:263-265.
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