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目的总结基层医院救治急性颅脑损伤的经验,以降低颅脑损伤的病死率和致残率。方法根据932例急性颅脑损伤患者的伤情和头颅CT检查结果,分别采取开颅手术进行治疗。结果 932例患者中基本恢复正常502例,中等程度残疾206例,重残70例,死亡154例(其中死于脑疝108例,死于并发症46例)。结论急性颅脑损伤后引起脑水肿等,使颅内压迅速升高,脑组织缺血、缺氧,易形成脑疝,致残率和病死率较高,因此对于颅内血肿,特别是急性颅内压升高的患者应立即手术治疗,术后应用脱水、止血、抗生素等药物对症治疗。
Objective To summarize the experience of treating acute craniocerebral injury in primary hospital so as to reduce the mortality and morbidity of craniocerebral injury. Methods According to the results of 932 cases of acute craniocerebral injury and head CT examination, craniotomy was performed respectively. Results Of the 932 patients, 502 were returned to normal, 206 were moderately disabled, 70 were severely disabled, and 154 were dead (108 died of herniation and 46 died of complication). Conclusion Acute craniocerebral injury caused by cerebral edema, so that intracranial pressure increased rapidly, brain ischemia, hypoxia, easy to form hernia, morbidity and mortality is higher, so for intracranial hematoma, especially acute Intracranial pressure patients should immediately surgery, postoperative application of dehydration, bleeding, antibiotics and other drugs symptomatic treatment.