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重型颅脑损伤合并多发伤的救治 被引量:11

Management of the severe craniocerebral trauma patients with multiple injuries
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摘要 目的 评估重型颅脑损伤合并多发伤的救治结果。方法 对我科收治的 12 2例重型颅脑损伤合并多发伤病例的临床资料及伤后 6个月GOS评分进行统计分析。结果 死亡 2 9例 ,植物生存 3例 ,重残6例 ,轻残 12例 ,治愈 72例。结论 重型颅脑损伤合并多发伤以青壮年车祸伤为多见 ,应早期诊断、及时抢救 ,避免漏诊和误诊 ,首先处理危及生命的损伤等是抢救成功的关键。 Objective To evaluate the therapeutic results of the severe craniocerebral traumatic (SCCT) patients with multiple injuries.?Methods The clinic data of 122 SCCT patients with multiple injuries and the GOS of 6 months after the trauma were analyzed statistically.?Results Twenty nine cases were dead,3 cases vegetative,6 cases severely disabled, and 12 cases morderately disabled.Seventy two cases had a good recovery.?Conclusion Vehicle injury is the major cause of SCCT patients with multiple injuries between ages 20 to 45.The keys of successful therapy are early diagnosis,early treatment,dealing with the fatal injuries firstly,and avoiding misdiagnosis.It is also important to fix bone fractures internally as early as possible.Intensive care also plays an important role.
出处 《创伤外科杂志》 2001年第3期193-195,共3页 Journal of Traumatic Surgery
关键词 颅脑损伤 多发伤 救治 craniocerebral trauma multiple injuries treatment
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