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目的总结重症颅脑损伤的救治经验。方法将我院自2011年2月—2012年1月救治的47例重症颅脑损伤患者按治疗方法分为观察组和对照组,其中观察组24例,对照组23例,且两组患者在性别、年龄、致伤原因以及格拉斯哥昏迷(GCS)评分等方面均无统计学差异(P>0.05)。观察组24例患者积极进行手术治疗,对照组23例患者行非手术治疗。结果观察组24例患者经过院前积极的抢救和院内及时的手术治疗,优良率为50.00%;而对照组23例患者中,优良率为21.74%。两组间优良率比较,差异有统计学意义(χ2=4.062 9,P<0.05)。结论重症颅脑损伤一般情况非常危急,在临床治疗过程中,急诊手术治疗的效果显著优于非手术治疗,因此对于重症颅脑损伤患者不但要进行积极的院外抢救,入院后要及时进行手术治疗,以提高患者的治疗效果。采用院外急救和院内手术治疗相结合的方法对挽救重症颅脑损伤患者的生命具有非常重要的意义。
Objective To summarize the experience of treatment of severe craniocerebral injury. Methods 47 cases of severe craniocerebral injury who were treated in our hospital from February 2011 to January 2012 were divided into observation group and control group according to the treatment method, including 24 cases in observation group and 23 cases in control group, There was no significant difference in sex, age, cause of injury and GCS score (P> 0.05). Twenty-four patients in the observation group were actively treated with surgery, and 23 patients in the control group were treated non-surgically. Results In the observation group, 24 patients were treated with active resuscitation and timely surgery in hospital. The excellent and good rate was 50.00%. In the control group, the excellent and good rate was 21.74%. The excellent and good rates between the two groups were significantly different (χ2 = 4.062 9, P <0.05). Conclusions The severe craniocerebral injury is in a critical condition in general. During the clinical treatment, the effect of emergency surgery is significantly better than that of non-surgical treatment. Therefore, patients with severe craniocerebral injury should not only be treated with active hospital care but also undergo timely surgical treatment after admission , In order to improve the patient’s treatment effect. The combination of outpatient first aid and hospital surgical treatment is of great significance for saving the lives of patients with severe craniocerebral injury.