急性颅脑损伤患者1658例临床疗效分析

Clinical effect analysis of 1658 cases of patients with acute craniocerebral injury

目的:探讨急性颅脑损伤患者的病情及疗效。方法:回顾性分析急性颅脑损伤患者1 658例的临床资料。结果:采用急诊手术患者398例,死亡46例,手术死亡率11.56%。硬膜外血肿170例,死亡19例,手术死亡率4.77%。硬膜下血肿、脑挫伤伴颅内血肿形成228例,死亡27例,手术死亡率6.78%。1 260例患者采用脱水降颅压等保守治疗,死亡2例。结论:根据急性颅脑损伤患者的具体病情采取个体化治疗方案,有助于提高临床疗效,明显降低死亡率。

Objective:To investigate the condition and curative effect of patients with acute craniocerebral injury.Methods:Theclinical data of 1658 cases of patients with acute craniocerebral injury were analyzed retrospectively.Results:398 cases of patientshad emergency operation,46 cases were dead,and the operative mortality was 11.56%.170 cases had epidural hematoma,19 caseswere dead and the operative mortality was 4.77% .228 cases had subdural hematoma or cerebral contusion with intracranialhematoma formation,27 cases were dead,and the surgical mortality was 6.78% .1 260 cases were treated with dehydration andreduction of intracranial pressure and 2 cases died.Conclusion:According to the specific condition of patients with acutecraniocerebral injury,the individualized treatment plan was taken,which help to improve the clinical curative effect and reduce themortality significantly.