207例重型颅脑损伤合并多发伤的救治分析

Analysis on treatment of 207 cases of severe traumatic brain injury complicated with multiple injuries

目的探讨重型颅脑损伤合并多发伤的临床救治经验。方法选取我科收治的207例重型颅脑创伤合并多发伤患者,回顾性分析其临床资料以及治疗方法,总结重型颅脑创伤合并多发伤的治疗经验以及疗效。结果预后按格拉斯哥结果评分法(GOS评分),恢复良好70例(33.8%),轻残42例(20.2%),重残29例(14%),植物生存10例(4.8%),死亡56例(27.2%)。结论早期诊断,尽早判断伤情,合理把握抢救顺序,及时抢救危及生命的器官损伤,重视术后的综合治疗,则可提高颅脑损伤合并多发伤抢救成功率,减少伤残率和病死率。

Objective To discuss the therapeutic methods and experience in severe traumatic brain injury complicated with multiple injuries .Methods The clinical data of 207 patients with severe traumatic brain injury complicated with multiple injuries treated in our department were analyzed retrospectively .Experience and curative effects of severe traumatic brain injury with multiple injuries were summarized .Results According to GOS scores ,70 （33.8%） patients got good recovery after the treatment ,42 （20.2%） moderate disability,29 （14%） severe disability,10 （4.8%） vegetative survival and 56 （27.2%） died.Conclusions Early diagnosis, early injury to determine a reasonable grasp the rescue sequence , in time to save a life-threatening organ damage , attach importance to the comprehensive treatment of postoperative , traumatic brain injury can improve the success rate of resuscitation combined with multiple injuries , reduce disability and mortality .