目的:總結分析1387例重型顱腦損傷的救治情況,以利在今后的工作中進一步改善和提高對重型顱腦損傷的救治水平。方法:回顧性分析1983年1月~2008年1月間1387例重型顱腦損傷患者的救治情況。結果:1387例重型顱腦損傷患者,其中手術治療857例,非手術治療530例。按GOS評分,出院時恢復良好475例(34.2%),中殘206例(14.8%),重殘202例(14.5%),植物生存89例(6.4%),死亡415例(29.9%)。結論:重型顱腦損傷仍然具有較高的病死率和致殘率,早期及時手術清除顱內血腫,解除腦疝以及采取積極恰當的綜合治療措施是搶救治療成功的關鍵。
                                 
                               
                                     
                                  
                       
                           引用本文:
                           楊清,周明森,吳建波,李超,曾強軍,徐海林,甘鄰元. 1387例重型顱腦損傷救治體會. 華西醫學, 2009, 24(1): 6-19. doi: 
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		                                    - 1.  Luerssen TG,Klauber MR,Marshall LF.Outcome from head injury related to patients age:a longitudinal prospective study of adult and pediatric head injury[J].J Neurosurg,1998,68(2):409-411..		                                    
		                                    
- 2.  王忠誠.神經外科學[M].第2版.湖北:湖北科學技術出版社,1998:297..		                                    
		                                    
- 3.  Choi SC,Muizelear JP,Barnes TY,et al.Prediction tree for severely headinjured patients[J].J Neurosurg,1991,75(1):251-252..		                                    
		                                    
- 4.  Soukiasian HJ,Hui T,Avital I,et al.Decompressive craniectomy in trauma patients with severe brain injury[J].Am Surg,2002,68(12):1066-1071..		                                    
		                                    
- 5.  LippertGruner M,Wedekind C,Klug N.Outcome of prolonged coma following severe traumatic brain injury[J].Brain Inj,2003,17(1):49-54..