脑心综合征在颅脑损伤患者手术治疗中的指导意义

Guidance Value of Cerebrocardiac Syndrome in the Surgical Treatment of Traumatic Brain Injury Patients

目的:探讨脑心综合征对颅脑损伤患者手术治疗的指导意义。方法:将颅脑损伤患者分为A、B两组,A组为出现脑心综合征而临床表现无明显加重的38例,B组为未出现脑心综合征但临床表现加重的40例,比较两组患者的治疗效果。结果:A、B两组患者手术率比较差异无统计学意义,A组患者死亡率、重残率明显高于B组。结论:脑心综合征的出现与CT表现的加重呈平行正相关关系,结合脑心综合征较单纯依靠临床表现来决定患者复查CT及选择手术的时机,能更好地提高颅脑损伤患者的救治率及改善预后。

Objective： To investigate cerebrocardiac syndrome guiding significance for the surgical treatment of traumatic brain injury patients. Method： The brain injury patients were divided into group A and B. Group A concluded 38 patients with a cerebrocardiac syndrome, while no significant worsening of clinical symptoms. Group B concluded 40 patients who did not appear brain-heart syndrome, but clinical symptoms had aggravated. The therapeutic effect of the two groups was compared. Result： The rate between two groups received surgery was not statistically different, but the mortality and morbidity of group A was significantly lower than that of the B group. Conclusion： There is a positive correlation between the occurrence of cerebrocardiact syndrome and deterioration of CT changes. The timing for CT scan or surgery should be based on not only clinical manifestations but also the occurrence of brain-heart syndrome, which can reduce mortality and morbidity, and improve prognosis of the patients with TBI.