特重型颅脑损伤16例临床治疗结果分析

The Outcome Analysis of 16 Cases about the most Severe craniocerebral Injury

目的探讨16例特重型颅脑损伤患者临床救治措施。方法回顾性分析我院自2001年5月～2004年5月3年间共收治特重型颅脑损伤患者16例,其中男11例,女5例。结果本组16例,手术治疗13例,死亡4例,死亡率30.8%;非手术治疗3例,死亡2例,死亡率66.7%;总死亡率37.5%。结论①入院后尽快完善辅助检查,争分夺秒及早手术。②手术彻底清除颅内血肿、严密止血,大骨瓣减压。③术后积极防治并发症维持内环境稳定是患者抢救成功的必要保证。

Aims To explore clinical curing measures of 16 cases about the most severe craniocerebral injury.Methods To analyze the 16 cases about the most severe craniocerebral injury that we have treated from May 2001 to May 2004,hereinto the 11 cases are male and 5 cases are female.Outcome Among these 16 cases,the cases for operation is 13,the 4 cases is dead,the mortality is 30.8%;the cases for non-opera- tion is 3,the 2 cases are dead,the mortality,is 66.7%.Conclusion we should pay more attention to the following three points:firstly,preparing actively and operating as soon as possible;secondly,clearing up encephalic hematoma thoroughly,stanching strictly and decreasing encephalic pressure;thirdly,preventing and curing complications actively and maintaining stabilization of internal environment after operation are vital to the success of life-saving.