42例重型颅脑损伤救治临床分析

Clinical Analysis of 42 Cases of Severe Craniocerebral Injury

目的分析重型颅脑损伤的临床救治方法,观察救治效果。方法选择重型颅脑损伤患者42例,均给予综合性救治,观察救治效果。结果 (1)治疗效果:恢复良好11例,占26.2%;轻度残疾7例,占16.7%;重度残疾8例,占19.0%;植物生存1例,占2.4%;死亡15例,死亡率35.7%。(2)手术患者并发症发生率:共28例患者行手术治疗,其中,14例患者术后发生并发症,发生率50.0%。结论临床救治重型颅脑损伤患者时,要尽早诊断、尽早处理,以提升治疗效果,使患者死亡率降低,并最大限度恢复患者的神经功能,改善患者预后。

Objective To analyze the clinical treatment of severe craniocerebral injury and observe the therapeutic effect. Methods 42 patients with severe craniocerebral injury were given comprehensive treatment to observe the effect of treatment. Results（1） therapeutic effect： 11 cases were recovered, accounting for 26.2%; 7 cases with mild disability, accounting for 16.7%; severe disability 8 cases, accounting for 19.0%; plant survival in 1 case, accounting for 2.4%; 15 deaths and 35.7% mortality.（2） complication rate of surgical patients： a total of 28 patients underwent surgical treatment, among which 14 patients had complications after surgery, with a rate of 50.0%. Conclusion Clinical treatment in patients with severe head injury, early diagnosis, early treatment, to enhance the treatment effect, reduce patient mortality, and restore nerve function in patients with maximum limit, improve the prognosis of patients.