重型颅脑损伤合并多发伤的ICU监护及治疗分析

ICU monitoring and treatment analysis of severe craniocerebral injury combined with multiple trauma

目的对重型颅脑损伤合并多发伤患者开展ICU监护和治疗,分析和研究临床效果。方法选取2015年2月～2017年6月本院ICU收入以及治疗的50例重型颅脑损伤合并多发伤患者,开展回顾性分析,50例重型颅脑损伤合并多发伤患者均接受ICU监护和治疗,统计和分析50例重型颅脑损伤合并多发伤患者的临床治疗效果。结果 50例重型颅脑损伤合并多发伤患者行开颅手术,30例行多发伤相关手术;治疗6个月后,格拉斯哥结局量表(GOS)分级为良好、中残、重残、植物状态、死亡的患者分别占据46.00%、24.00%、14.00%、2.00%、14.00%。结论对重型颅脑损伤合并多发伤患者实施ICU监护和治疗能够提升救治成功率,呈现重要的应用价值。

Objective To carry out ICU monitoring and treatment for severe craniocerebral injury combined with multiple trauma patients, and to analyze and study clinical effects. Methods In this paper, the analysis and research materials was in February 2015 to June 2017 in our hospital ICU income as well as the treatment of 50 cases of patients with severe craniocerebral injury with multiple trauma, conducted a retrospective analysis of 50 cases of patients with severe craniocerebral injury with multiple trauma ICU monitoring and treatment, statistics and analysis of 50 cases of pa- tients with severe craniocerebral injury with multiple trauma clinical therapeutic effect. Results 50 cases of severe craniocerebral injury combined with multiple trauma patients underwent craniotomy and 30 patients with multiple injuries. After 6 months of treatment, the Glasgowoutcome scale （GOS） was rated as good, medium and residual, heavy residue, plant status, and death patients with 46.00%, 24.00%, 14.00%, 2.00% and 14.00% respectively. Conclusion ICU monitoring and treatment of patients with severe craniocerebral injury combined with multiple trauma can improve the success rate of treatment and present important application value.