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目的:探讨颅脑损伤合并多发伤的急救分析。方法:研究该院在2013年9月至2015年9月期间收治的40例颅脑损伤合并多发伤患者,分析急救处理效果。结果:通过GOS标准评估治疗效果,恢复良好者37.5%,轻度残疾者15%,重度残疾者7.5%,植物生存者2.5%,死亡者37.5%;其中死亡者中,休克者1例,脑干功能衰竭者10例,多器官功能衰竭者3例,肺部感染者1例。结论:颅脑损伤合并多发伤会产生较大比例的致残与致死率,急救处理要及时且具有针对性的才能有效减少不可逆损伤,提升患者治疗质量。
Objective: To investigate the emergency analysis of traumatic brain injury combined with multiple trauma. Methods: Forty patients with craniocerebral injury and multiple trauma admitted from September 2013 to September 2015 in our hospital were studied. The effect of first aid treatment was analyzed. Results: According to the GOS criteria, 37.5% of the patients recovered well, 15% of the patients with mild disability, 7.5% of the patients with severe disability, 2.5% of the survivors and 37.5% of the patients died. Among the patients who died, 1 patient was shocked, 10 cases of dry failure, 3 cases of multiple organ failure, 1 case of pulmonary infection. Conclusion: Traumatic brain injury combined with multiple trauma will cause a large proportion of disability and fatality rate. First and foremost treatment should be timely and targeted to effectively reduce irreversible damage and improve the quality of treatment.