1668例重型颅脑损伤救治的临床分析

Management for 1 668 Cases with Severe Craniocerebral Injury

目的:总结1668例重型颅脑损伤(SCCI)患者的救治体会。方法:对1668例GCS评分小于8分的SC-CI患者,对其治疗方法及治疗结果进行回顾性总结和分析。结果:恢复良好1014例(60.8%),轻残、中残188例(11.3%),重残80例(4.8%),植物性生存24例(1.4%),死亡362例(21.7%)。结论:争取时间,早期诊断,积极手术治疗,给予脑组织充分的氧供,防止各种并发症的发生,尽量减少继发性的脑损伤,是提高SCCI患者生存率及生存质量的关键。

Objective To summarize the management experience for patients with severe craniocerebral injury.Methods The clinical date of 1 668 cases with severe craniocerebral injury(GCS score<8)was analyzed retrospectively.Results In all of 1 668 cases,1 014 cases were with good recovery(60.8%),188 cases with low or moderate grade disability(11.3%),80 cases with severe disability(4.8%),24 cases were in suspended animation(1.4%),and 362 cases died(21.7%).Conclusion The key means to improve the survival rate and the ...