目的：分析和探讨急性特重度颅脑损伤在救治中存在的问题，以提高救治率，降低病死率。方法：对88例特重度颅脑损伤患者的救治进行回顾性分析，分析存在问题。结果：采用格拉斯哥预后评分（ GOS）评估88例患者的预后情况，1分死亡16例，其中入院后2 h内死亡9例，术后死亡7例；2分植物生存22例；3分重度致残，卧床不起，需他人照料21例；4分中残，日常生活需他人帮助14例；5分恢复良好15例，日常生活完全自理，能工作学习，能参与社会活动。结论：对绝对适应证的特重度颅脑损伤合并颅内血肿、脑水肿、脑肿胀、脑疝格拉斯哥昏迷评分（ GCS）在5分以下的患者，及时、恰当、规范地采取标准去骨瓣降压及血肿清除，对术前、术中、术后常见问题进行分析探讨，可降低病死率，提高生活质量。%Objective:To analyze and investigate relevant issues in the treatment of heavy brain injury,increase the cure rate and reduce mortality. Methods:To analyze retrospectively the cure of 88 cases with intracranial hematomas heavy brain in-jury. Results:Using glasgow outcome scale( GOS)to evlaue the prognostic situation of patients,1 score in 16 cases,of which 9 cases died after admission 2 h,7 cases died after surery;2 scores in 22 cases,3 scores severely disabled,bedridden and need others tendance in 21 cases;4 scores midding disability,daily life need help in 14 cases;5 scores in 15 cases,they had good re-covery,daily life can take care of themselves,to work and study,participate in social activities. Conclusion:The absolute indica-tions of severe head injury and intracranial hematoma,cerebral edema,brain swelling,glasgow coma score( GCS)less 5 scores, to take bone buck and hematoma,preoperative timely,appropriately,intraoperative and postoperative were analyzed and dis-cussed common problems,reduce mortality and improve quality of life,it is to save the lives of patients of important aspects of treatment.
展开▼
