小儿重型颅脑损伤的发病与治疗特点(附41例报告)

The characteristics of the occurance and treatment in children's severe craniocerebral injury with reports of 41 cases

目的 探讨小儿重型颅脑损伤发病及治疗特点。方法 分析 41例重型颅脑损伤患儿的发病特点、临床表现、CT检查特征。 12例手术治疗 ,其余采取保守综合治疗。结果 治愈 3 3例 ( 80 .5 % ) ,重残 3例 ( 7.3 % ) ,死亡 5例 ( 12 .2 % )。结论 小儿重型颅脑损伤发病急、病情重、变化快 ,应严密观察病情变化 ,及时抢救。

Objective To study the characteristics of the occurance and treatment in children's severe craniocerebral injury in order to improve the therapeutic effect.Methods The characteristics of the occurance,clinical manifestation and CT examination in 41 clindren with severe craniocerebral injury were analysed.12 cases were treated surgically,while the rest were managed by using conservative comprehensive treatment.Results 33(80.5%) cases were cured,3(7.3%) cases were severely disable and 5(12.2%) cases died.Conclusion Because of the acute occurance,severe injury and rapid change in children's severe craniocerebral injury,serious observation on the patients and timely treatment are needed in order to improve the clinical therapeutic effect.