重型颅脑外伤合并严重胸部创伤的救治分析

• 作 者: 吴俊华
• 机 构: 云南省第二人民医院创伤救治中心,
• 出 处: 实用心脑肺血管病杂志
• 发表日期: 2013年03期
• 关键词: 胸部创伤 重型颅脑外伤 救治分析 胸部损伤 胸腔闭式引流 脑挫裂伤 合并颅内血肿 双侧瞳孔散大 血胸 脑干损伤

目的总结重型颅脑外伤合并严重胸部创伤救治的经验,确立要点,提高存活率。方法分析我中心85例符合条件的病例的诊治过程及预后关系,33例开颅,13例开胸,76例胸腔闭式引流。结果治愈44例,死亡41例,病死率为48.2%。结论救治要点:诊断快速明确,按轻重缓急分清主要治疗手段顺序,正确行使综合治疗措施,仔细严密观察病情变化,把握要点是成功救治的关键。

Objective To summarize the experience of severe craniocerebral injury complicated with thoracic trauma and to establish the key points and improve the survival rate. Methods The diagnosis and treatment and prognosis of 85 eligible cases in our center were analyzed. 33 patients underwent craniotomy, 13 underwent thoracotomy, and 76 underwent closed thoracic drainage. Results of 44 cases were cured, 41 died, the case fatality rate was 48.2%. Conclusion The main points of treatment are: the diagnosis is quick and definite, the order of the main treatment methods should be sorted out according to the priorities, the comprehensive treatment measures should be properly exercised, and the changes of the disease should be carefully observed. It is the key to successful treatment.