摘要
目的:探讨重度颅脑损伤(GCS<8分)合并创伤性迟发性血胸的临床特点、诊断及治疗方法。方法:回顾性分析34例重度颅脑损伤合并创伤性迟发性血胸患者治疗过程及疗效。结果:治愈20例,功能障碍7例,植物生存状态3例,死亡4例。结论:迟发性血胸发病较为隐匿,对于合并重度颅脑损伤的多发伤患者由于意识障碍更容易漏诊。在临床上需重视患者体征、加强对患者病情的观察、及时行必要的辅助检查,从而使患者获得及时诊治以改善预后。
[Objective]To explore the clinical features,diagnosis and treatment of severe traumatic brain injury(GCS < 8 scores) with delayed traumatic hemothorax.[Method]34 cases of severe traumatic brain injury with delayed traumatic hemothorax were retrospectively analyzed of the treatment and curative effect.[Result]20 cases were cured.7 cases were dysfunctional. 3 cases were in vegetative state.4 cases were dead.[Conclusion]Delayed hemothorax is easily missed.For patients with severe traumatic brain injury,delayed hemothorax is even easier to be missed because of patients' disturbance of consciousness. In clinical treatment,patient conditions shall be carefully monitored and auxiliary examinations shall be taken to facilitate diagnosis and prognosis.
出处
《浙江医学教育》
2009年第4期54-55,共2页
Zhejiang Medical Education
关键词
重度颅脑损伤
迟发性血胸
创伤
多发伤
severe traumatic brain injury
delayed hemothorax
trauma
multiple injury
diagnosis
