摘要
1985～1995年作者共收治严重腹部闭合性损伤合并颅脑损伤患者64例。伤后来诊时间20分钟～6小时不等。来诊时均具有不同程度的休克、烦躁及意识不清。全部病例均行剖腹探查术,因颅脑损伤手术者26例。其中腹-脑同时手术者4例,腹部手术后2小时内行颅脑手术者12例,腹部手术6小时后行颅脑手术者10例。本组患者死亡17例,死亡率为26.6%。作者认为重视早期诊断和治疗。对于有低血压及意识丧失的患者,迅速治疗腹腔内出血具有首位重要意义。术后治疗既要注意到全身状况,又要重视颅脑损伤的处理,必要时应给予营养支持治疗。
Sixty-four patients with abdominal closed injury combined cerebral cranium were operat- ed in 1985 to 1995.Sent to hospital in twenty minutes to six hours after injury,they were all suffering from varying degrees of shock,dysphoria and confusion etc,and underwent laparotomy.Among twenty- six patients suffering from cerebral cranium injury,four cases received abdomen-brain operation in the same time,12 cases underwent brain surgery in 2 hours after laparotomy,and 10 cases received brain surgery 6 hours after laparotomy.Seventeen died during hospitalization (26.6%).Early diagnosis and prompt early treatment is the key to better prognosis in patients suffering from cerebral a injury compli- cated with abdominal internal hemorrhage.
出处
《中华普通外科杂志》
CSCD
1997年第6期366-368,共3页
Chinese Journal of General Surgery
关键词
腹部损伤
颅脑损伤
诊断
治疗
并发症
Abdominal injuries
Brain injuries
Diagnosis
Treatment
