轻中型颅脑损伤猝死原因分析

Analysis of reasons of sudden death with mild or moderate craniocerebral injury

目的分析轻、中型颅脑损伤后"无明显预兆"突然死亡的原因,增强对特殊类型颅脑损伤诊治预见性。方法回顾性分析13例轻、中型颅脑损伤病人的伤情、诊断、治疗和死亡经过,总结死亡原因。结果轻、中型颅脑损伤后突然死亡病人的首要致伤原因为摩托车减速伤,其次为高处坠落伤。头颅CT无颅内血肿、脑疝等急诊开颅手术指征。但病情发展迅速,突然恶化,迅速死亡。结论对轻、中型颅脑损伤病人应特别注意分析受伤机制,动态观察病情变化;对有蛛网膜下腔出血、颅底骨折、颅底脑池显示不清、重要脏器合并伤等高危因素的患者要高度重视,尽早处理。

Objective To analyse the the reasons of sudden death without obvious aura in patients with mild or moderate craniocerebral injury, and strenthen the foresight for special type craniocerebral injury. Methods The severity of injury, diagnosis, treatment,and death process of 13 patients with mild or moderate craniocerebral injury were analysed retrospectively. The reasons of death were summarized too. Results The primary cause of mild or moderate craniocerebral injury was motocycle deceleration injury, the second was falling injury. Conclusions The mechanism of craniocerebral injury should be analysed combined with dynamic study of patients＇ condition. Great attention shoud be paid to patients with the high risk factors such as subarachnoid hemorrhage, basal fracture and unclear display of cistern in basalis, combined injuries of important organs, and early treatment should be carried out as soon as possible.