摘要
本文分析了40例脑外伤后能讲话而后恶化致死的因素,颅内血肿是最常见的原因。提出早期诊断和治疗对抢救这些病人的生命非常重要。其次对术后有好转的病例应积极防治并发症。对6例恶化前入院的病人强调应严格掌握保守治疗的适应症。
In this study, the factors caused deterioration and death in 40 pationts who had talked after head injury were analysed. It showed that the intracranial hematoma was the most common cause of deterioration and death (67. 5%), and therefore early diagnosis and surgical treatment of hematoma are very important for these patients. For the patients with intracranial hematoma, selection of indication of the conservation treatment must be more careful and strict. If the ICP monitor or a series of CT-sean could not be used in time, surgical treatment should be choiced more actively in these patients. Some patients whose hematomas were not found by CT-scan or even postoperative conditions had been improved could get deterioration again, thus more attention must be paid to the occurrences of delayed intracranial hematomas. The postoperative complications were another kind of factors responsibe to death, such as pulmonary infection, intracranial infection, gastrointestinal bleeding and so on(22. 5%). The corresponding preventive measures should be taken more effectively according to circomstances.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1991年第4期222-224,共3页
Chinese Journal of Trauma
关键词
脑外伤
致死因素
head injury death talk die
