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脑挫裂伤的临床分型与治疗探讨 被引量:18

Exploring Clinical Classification and Treatment of Brain Contusion and Laceration
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摘要 目的探讨脑挫裂伤的临床分型与治疗的关系。方法280例经头颅CT检查的脑挫裂伤病人,根据病人GCS计分、生命体证、瞳孔和意识变化临床上分为四型。Ⅰ、Ⅱ型主要通过保守治疗(手术治疗仅5例),Ⅲ、Ⅳ型主要通过手术治疗。3月后进行疗效评定。结果Ⅰ型脑挫裂伤62例,Ⅱ型脑挫裂伤97例,治愈好转149例(94%),轻残8例,死亡2例。Ⅲ型脑挫裂伤78例,手术治疗61例,治愈好转52例,轻残和重残各6例,死亡14例。Ⅳ型脑挫裂伤43例,残废6例,治愈好转6例,死亡31例。结论脑挫裂伤进行临床分型对其伤情和预后判断具有重要临床价值。 Objective To explore the relation between the clinical classification and treatment effectiveness of brain contusion and laceration(BCL).Methods Two hundred and eighty cases of BCL were divided into4types according to GCS scores,the vital signs,pupilar change and conscious status.Of 159patients with typeⅠorⅡBCL,154were conservatively treated,5surgically;of78patients withⅢBCL,61were surgically treated,17conservatively;of43patients with typeⅣBCL,28were surgically treated,15conservatively.The curative effect was evaluated3months after the BCL.Results Of 159patients with typeⅠorⅡBCL,149were cured(94%),8slightly disabled and2died.Of 78patients with typeⅢBCL,52were cured,6slight disabled,6severely disabled and14died.Of 43patients with typeⅣBCL,6were cured,6disable and31died.Conclusion The clinical classification of BCL is of important value to judging the condition of injury and prognosis in the patients with BCL.[
出处 《中国临床神经外科杂志》 2003年第1期16-18,共3页 Chinese Journal of Clinical Neurosurgery
关键词 脑挫裂伤 临床分型 CT检查 Brain contusion and laceration Clinical classification CT scan
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