重型颅脑损伤患者气管切开术后的临床分析

目的分析重型颅脑损伤患者行气管切开术与其术后生存的关系。方法对82例因各种因素造成重型颅脑损伤的患者予以气管切开处置,观察患者抢救后的病情恢复情况。结果所有患者中,34例在痊愈后可实现基本生活自理,18例仅能实现部分生活自理,16例完全丧失生活自理能力,4例沦为植物人,其余10例死亡。结论重型颅脑损伤患者多因呼吸道不畅或低氧血症而最终死亡,故尽早对患者病情发展进行科学评估、及时为其进行气管切开处置,可有效地降低患者的死亡率,提高患者的抢救成功率。

Objective Survival injury patients with tracheotomy and postoperative analysis of severe craniocerebral. Methods 82 due to various factors resulting in severe craniocerebral injury patients to tracheotomy disposal, and then observe the condition in the rescue after the recovery of these patients. Results In this study, all patients, 34 people can realize the basic self-care in healed, 18 people can only achieve part of self-care, 16 complete loss of self-care ability, 4 people become a vegetable, the other 10 deaths. Conclusion The final death because of respiratory tract in patients with poor or hypoxemia, severe craniocerebral injury, so as soon as possible for patients with scientific assessment, as well as for the disposal of tracheotomy, can effectively reduce the mortality of patients, improve the success rate of rescuing the patients with.