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目的总结238例重型颅脑损伤病人的救治经验。方法对我科2000年1月～2005年6月收治的重型颅脑损伤病人进行回顾性总结。结果238例重型颅脑损伤病人存活148例(62%),其中恢复良好和中残108例(73%),重残40例(27%),死亡90例(38%)。结论尽早清除颅内血肿,大骨瓣减压,早期亚低温治疗,呼吸机辅助呼吸,维持内环境稳定及防治并发症等措施,可显著改善重型颅脑损伤病人的预后。
Objective To summarize the treatment experience of 238 patients with severe craniocerebral injury. Methods A retrospective review was made on patients with severe craniocerebral injury who were treated in our department from January 2000 to June 2005. Results A total of 238 patients (62%) with severe craniocerebral injury survived. Among them, 108 (73%) were well recovered and moderately disabled, 40 (27%) severely disabled and 90 (38%) died. Conclusions As early as possible, the prognosis of patients with severe craniocerebral injury can be significantly improved by removing intracranial hematoma, decompression of big bones, treatment of early mild hypothermia, ventilator assisted breathing, maintenance of internal environment stability and prevention of complications.