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46例高原重型颅脑损伤救治体会 被引量:1

Experience in Treating 46 Cases of Severe Craniocerebral Trauma at High Altitude
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摘要 目的总结高原重型颅脑损伤患者的伤情特点与手术、治疗经验。方法回顾性分析我院2002年1月以来收治46例重型颅脑损伤患者的临床资料,包括伤情特点、治疗特点、手术方式及预后等。结果恢复良好24例,轻度残疾16例,重度残疾3例,死亡3例。结论高原重型颅脑损伤有不同于平原地区的特点,高原缺氧是影响其救治与预后的关键。分秒必争的早期手术、充分有效的给氧与抗高原脑水肿治疗是影响康复的重要因素。 Objective To summarize the trauma features, surgery and treatment. Methods A retrospective analysis was made to the clinical data of 46 cases of severe craniocerebral trauma since 2002. Results 24 cases had good recovery, 16 cases got slight disability, 3 cases got severe disability and 3 cases died. Conclusions Severe craniocerebral trauma at high altitude is featured differently from that at plain and high-altitude anoxia is the key factor which determines the curative effect and prognosis; early operation, sufficient oxygen inhalation and anti-cerebral edema therapy are important for effective treatment and good recovery.
机构地区 解放军
出处 《西南军医》 2013年第5期481-483,共3页 Journal of Military Surgeon in Southwest China
关键词 高原 重型颅脑损伤 救治 high altitude severe craniocerebral trauma treatment
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  • 1汤深,江基尧.金尔伦治疗急性颅脑损伤的剂量效应研究[J].中华神经外科疾病研究杂志,2004,3(5):428-430. 被引量:3
  • 2胥全宏,冯华,王宪荣,林江凯,高伯元,朱刚.高原大鼠颅脑损伤局部脑组织氧分压变化特点[J].中华神经外科疾病研究杂志,2005,4(2):137-140. 被引量:20
  • 3朱诚,王成海.纳洛酮对猫急性颅脑伤影响的实验研究[J].中华外科杂志,1989,27(8):498-500. 被引量:17
  • 4Yang YB, Sun B, Yang Z, et al. Effects of acute hypoxia on intracranial dynamics in unanesthetized goats [J]. J Appl Physiol, 1993,74(5) :2067.
  • 5Berre J, Vachie RL, Moraine J, et al. Cerebral blood flow velocity responses to hypoxia in subjects who are susceptible to high-altitude pulmonary oedema[J]. Eur J Appl Physiol, 1999,80:260.
  • 6Yarnell PR, Heit J, Hackett PH. High altitude cerebral edema (HACE) : the denver/front range experience[J]. Semin Neurol, 2000,20 (2) : 209.
  • 7Hackett PH ,Roach RC. High altitude illness[J]. N Engl J Med,2001,345(2):107.
  • 8Ghajar J. Traumatic brain injury [J]. Lancet, 2000, 356(9233): 923-929.
  • 9Allen IV, Scott R, Tanner JA. Experimental high velocity missile head injury [J]. Injury, 1982, 14(2): 183-193.
  • 10Buunk G, van der Hoeven JG, Meinders AE. A comparison of near-infrared spectroscopy and jugular bulb oximetry in comatose patients resuscitated from a cardiac arrest [J]. Anaesthesia, 1998, 53(1): 13-19.

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