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目的:总结892例重型颅脑损伤(SCC I)病人的救治经验,以提高治愈率、降低病死率。方法:回顾性分析、总结我院自1998年1月~2004年12月收治的GCS 3~8分SCC I病人的临床资料。结果:892例SCC I中恢复良好339例(38.0%),中残143例(16.0%),重残196例(22.0%),植物生存12例(1.3%),死亡202例(22.6%)。结论:早期诊断、迅速解除脑受压、妥善处理合并伤、积极预防并发症、重视营养支持及康复治疗是改善SCC I病人预后的重要措施,规范创伤救治体系、多科室良好的协作是早期维持患者生命体征、迅速解除脑受压的保证。
Objective: To summarize the treatment experience of 892 patients with severe craniocerebral injury (SCC I) to improve the cure rate and reduce the mortality rate. Methods: The clinical data of GCS 3-8 SCC I patients admitted to our hospital from January 1998 to December 2004 were retrospectively analyzed. RESULTS: Of the 892 SCC I patients, 339 (38.0%) recovered well, 143 (16.0%) were moderate disability, 196 (22.0%) were severely disabled, 12 (1.3%) were plant survived and 202 (22.6% . Conclusion: The early diagnosis, promptly relieve the brain pressure, properly handle the combined injury, actively prevent the complications, pay attention to nutritional support and rehabilitation is an important measure to improve the prognosis of patients with SCC I, standardize the trauma treatment system, multi-departmental good collaboration is the early maintenance Patient vital signs, prompt relief of the pressure of the brain.