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1、249例重型颅脑损伤救治策略分析249casesofseverebraininjurywereanalyzedUpdatedate:2011-09-15shikshan,shikshancaoasliangminli'an【abstract】objectivetoanalyzethecauseofinjuryof249patientswithseverebraininjury,discusseffectivetreatmentstrategiesandreducemortality・Methodstoanalyzetheincidenceofvariou
2、skindsofinjuries,includingstrengtheningpre-hospitalemergencytreatment,cerebralprotectionandreductionofcranialpressure,postoperativespecializedcareandtreatment・Resultstheinjurywasmainlycausedby154cases(61.8%)and36cases(14.5%).Thelesionswereof52cases(20.9%)ofsubduralhematoma(20.9%)
3、,followedbyepiduralhematoma(18・1%),and42cases(16.95%)・186casesofsurvival,25.3%mortality.Conclusionsearlytrachealintubation,safe,rapidandtimelyresuscitation,earlyCTscan,brainprotection,thetimelyremovalofintracranialhematomaplaceholderlesionsaswellasthemonitoring,suchasindoorreceiv
4、epositiveprocessingisrescuingcriticallyillpatientsinatimelyandeffectivemanner,reducingthemortalityofsevereheadinjuryimportantsegment.【keywords】braindamage,heavyfirst-aidstrategyTreatmentofSevereHeadInjury:AnAnalysisof249PatientsSHIXiaofeng,SHIKeshan,CAOZuowei,etal.Dept・OfNeurosur
5、gery,HaikouMunicipalHospital,Haikou,570208[Abstract]ObjectiveTostudythetraumatogeniccausesandtherapyofsevereheadinjury.MethodsRetrospectivestudyhasbeendoneontheincidenceofthetrauma,theeffectsofprehospitalemergencytreatment,brainprotection,reductionofintracraninalpressureduringope
6、rationandthemonitoringandtreatmentinICUafteroperation.ResultsThemaincausesresultingfromheadinjuryweretrafficaccidentinjury(154cases,61.8%)andfallinginjury(36cases,14.5%).Subduralhematomawasfoundin52cases(20.9%),extraduralhematomain45cases(18・1%),multiplehematomas42cases(16.95%)・O
7、fthe249patients,186survived(74.7%).ConclusionsEar1ytrachealintubation,safetransit,quickandtimelyresuscitation,earlyCTsean,brainprotectionduringoperation,andtimelycleaningintracranialhematomaorspaceoccupyinglesionareimportantinreducingthemortalityofsevereheadinjury.[Keywords]Brain
8、injuries,severeFirstaidAlthoughinrecenty
