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目的探讨影响重型颅脑损伤治疗效果的因素。方法回顾性分析60例重型颅脑损伤患着的临床资料,对治疗过程中应注意的问题进行总结。结果本组60例,治愈14例,轻残18例,重残6例,植物生存2例,死亡20例。死亡原因为中枢性衰竭死亡8例,弥漫性轴索损伤和原发性脑干损伤7例,水、电解质紊乱2例,急性肾功能衰竭,消化道出血、多器管功能衰竭各1例。结论提高院前急救和急性颅内血肿的诊断水平,尽早手术及时解除脑受压,纠正并发症,加强营养支持,尽早使用脑细胞活化剂,有利于提高治愈率。
Objective To explore the factors affecting the treatment effect of severe craniocerebral injury. Methods The clinical data of 60 patients with severe craniocerebral injury were retrospectively analyzed. The problems that should be paid attention to during the treatment were summarized. Results The group of 60 cases, 14 cases were cured, 18 cases of mild disability, 6 cases of severe disability, 2 cases of plant survival, 20 cases of death. The causes of death were central death in 8 cases, diffuse axonal injury and primary brain stem injury in 7 cases, water and electrolyte disturbance in 2 cases, acute renal failure, gastrointestinal bleeding and multiple organ failure in 1 case. Conclusions To improve the diagnosis of pre-hospital emergency and acute intracranial hematoma, it is better to use brain cell activator as soon as possible to relieve the brain pressure, correct the complication, and improve the cure rate as soon as possible.