基层医院重型颅脑损伤126例临床分析

Clinic Analysis of 126 Patients with Severe Craniocerebral Injury in Basic Unit Hospital

目的:总结基层医院救治重型颅脑损伤的体会,提高其救治水平。方法:回顾性分析2004年3月至2009年3月救治重型颅脑损伤126例的临床资料。结果:按格拉斯哥预后评分(GOS):恢复良好80例,中残8例,重残8例,植物生存2例;死亡28例。结论:早期手术,标准去大骨瓣减压,亚低温及脑保护药物治疗,维持有效的脑血流灌注和脑供氧,是基层医院提高重型颅脑损伤患者救治成功率的关键。

Objective： To improve the level of therapy, we summarized the clinical treatment experience of the severe craniocerebral injury （SCCI） in basic unit hospital. Methods：The clinical data of 126 patients with SCCI were analyzed from March 2004 to March 2009. Results： According to the Glasgow outcome scale （GOS）： good recovery in 80 cases, medium lameness in 8 cases ,severe lameness in 8 cases,vegetative state in 2 cases and death in 28 cases.Conclusions ： Early diagnosis and operation, clearing the intracranial hematoma rapidly, standard large decompressive craniectomy,hypothermia therapy,using of cerebral protective drug,mechanical ventilation,maintaining effective cerebral perfusion and cerebral oxygen supply,improving the microeireulation,preventing and treating the complication are the important factors in improving the cure rate of the patients with SCCI in basic unit hospital.