120例中重型颅脑损伤合并多发伤患者救治研究.doc

120例中重型颅脑损伤合并多发伤患者救治研究[摘要] 目的：结合临床实践经验，开展中重型颅脑损伤合并多发伤患者的救治分析。方法：选取本院中重型颅脑损伤合并多发伤患者为研究对象，采用回顾性分析，将患者的临床资料以及治疗方法进行总结，探讨中重型颅脑损伤合并多发伤的临床治疗以及疗效。结果：本组120例患者，住院时间最长111 d，最短8 d，平均26.42 d。按格拉斯哥结局量表（GOS）分级，行开颅手术治疗的70例患者出院时，良好52例，占74.29%；中度残疾10例，占14.29%；重度残疾4例，占5.71%；植物状态1例，占1.43%；死亡3例，占4.29%。未行开颅手术治疗的50例患者出院时，良好44例，占88.00%；中度残疾6例，占12.00%，无重度残疾、植物状态和死亡病例。结论：在处理颅脑损伤时要密切注意和警惕多发伤的可能性。及时诊治是关键，并在诊断明确后及时纠正低血压和低血氧，根据病情合理安排手术治疗，适当使用脱水剂，从而提高治愈率，改善患者预后。 [关键词] 中重型颅脑损伤；合并多发伤；救治分析 [中图分类号] R651.1+5 [文献标识码]A[文章编号]1674-4721（2011）02（b）-017-02 Analysis of the treatment 120 cases of severe head injury with multiple trauma patients DENG Jianqiang (The First People’s Hospital of Loudi City, Hunan Province, Loudi 417009,China) [Abstract] Objective: To analyze the treatment 120 cases of severe head injury with multiple trauma patients with the experience in clinical practice. Methods: Selected 120 patients with severe head injury with multiple trauma patients in our hospital as the research object, took a retrospective analysis of clinical data and treatment to investigate the severe head injury with multiple injuries and the efficacy of clinical treatment. Results: According to Glasgow Outcome Scale (GOS) grade, craniotomy discharge treated 70 patients, 52 patients were good (74.29%); 10 patients with moderate disability (14.29%); 4 cases of severe disability (5.71%); 1 patient with splant status (1.43%); 3 patients died (4.29%).50 patients which were not treated with Craniotomy discharged, good 44 cases (88.00%); moderate disability in 6 cases(12.00%), non-severe disability, vegetative state or died. Conclusion: When dealing with traumatic brain injury should pay the close attention and vigilance on the possibility of multiple injuries. Timely diagnosis and treatment is the key, and promptly corrected after diagnosis of hypotension and low blood oxygen, reasonable arrangements for surgical treatment of the condition of patients, appropriate use of dehydrating agents to improve cu