摘要
目的 探讨脑疝形成伴失血性休克的重型颅脑创伤的早期救治策略及其对预后的影响.方法 回顾性分析我院2006年5月-2009年5月以＂选择性早期颅脑手术＂救治的54例脑疝伴失血性休克患者（研究组）,并与2003年4月-2006年4月收治的未按该方法救治的48例同类患者（对照组）进行比较,比较患者1周内死亡率以及伤后半年的GOS评分.结果 两组患者性别、年龄、致伤机制、GCS、失血量等指标差异无统计学意义（P＞0.05）.研究组54例患者1周内死亡13例,死亡率为24%;对照组患者1周内死亡16例,死亡率为33%（P＜0.05）.研究组患者伤后半年GOS显示预后良好率较对照组高（P＜0.05）.结论 按休克程度行选择性早期颅脑手术可以提高重型颅脑创伤后脑疝伴失血性休克患者的早期救治效果,改善患者的预后.
Objective To explore emergency treatment strategies for the patients with brain hernia combined with hemorrhagic shock after severe traumatic brain injury and their effect on prognosis.Methods A retrospective analysis was made on 54 patients （study group） with brain hernia combined with hemorrhagic shock treated with selective treatment strategies from May 2006 to May 2009. Another 48 patients with the same injuries treated with no selective treatment strategies from April 2003 to April 2006 were used as control group. The mortality within one week and the GOS six months after injury were compared in two groups. Results There was no statistical difference in aspects of sex, age, injury mechanism, GCS and blood loss in both groups （P〉0.05）. Thirteen patients died in the study group within the first week, with mortality rate of 24.1%. While 16 patients died in the control group at the first week, with mortality rate of 33.3% （P〈0.05）. GOS half year after injury in the study group was better than that in the control group （P〈0.05）.Conclusion Early selective treatment strategy based on degree of shock may obtain better outcome for patients with brain hernia combined with hemorrhagic shock after severe brain injury.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2010年第6期490-494,共5页
Chinese Journal of Trauma
基金
天津市科技发展计划资助项目（06YFSZSF01200）
关键词
脑损伤
脑疝
休克
出血性
Brain injuries
Encephalocele
Shock, hemorrhagic
