摘要
目的探讨重型颅脑损伤伴有多发伤一体化治疗的临床效果。方法对2005年1月至2010年2月,应用"一体化"指导思想救治重型颅脑损伤合并多发伤(ISS≥25分)268例(A组)的临床资料进行回顾性分析,并与2001年1月至2004年12月收治的同类患者187例(B组)进行比较。结果 A组268例,死亡47例,占17.5%。B组死亡53例,占28.6%。A、B两组比较:ISS=25～45分的病例B组死亡率高于A组,特重型颅脑创伤组生存时间A组长于B组(P<0.05)。其中两组ISS评分:A组均分35.2,B组36.1,差异无统计学意义。结论迅速准确的伤情判断,积极地实行早期抢救、损伤控制,MODS分级防治的一体化治疗能够显著提高重型颅脑创伤合并多发伤生存率。
Objective To probe the feasibility and efficacy of the integral treating in severe cranioen-cephalon trauma with multiple injuries. Methods Data of 268 cases,called ＂group A＂ ,of severe cranioencephalon trauma with multiple injuries treated integrally from 2005. 12 ～ 2010. 2 were analyzed retrospectively. The ＂group B＂ ,concluding187 cases,had been treated without the ideas from2001. 1 ～ 2004. 12. The effective of very severities of ＂A＂ and ＂B＂ were analyzed with χ^2 test. Results The mortality rate of the group A was 17. 5% （ 47cases） ,the group B was 28. 6% （ 53 cases） higher than the rate of group A. Average Injury Severity Score （ ISS） of A was 35. 2 without statistical difference to 36. 1 of B. But the effective of very severities of A was higher than that of B （ P〈0. 05）. Conclusion Performing integral treatment comprising resuscitation,operation and ICU resuscitating can improve management of neurosurgery multiple injuries.
出处
《中国实用医药》
2010年第34期42-43,共2页
China Practical Medicine
关键词
颅脑创伤
多发伤
一体化治疗
Cranioencephalon trauma
Multiple injury
Integral treatment
