目的 探讨重症颅脑外伤合并创伤性休克患者的临床特点及治疗方案.方法 回顾性分析60例重症颅脑外伤合并创伤性休克患者的临床资料,分析其临床特点及治疗措施和治疗结局.结果 开颅手术者44例,腹腔穿刺者37例,同时给予腹腔手术者23例,气管插管23例(其中9例气管切开),胸腔闭式引流者7例.经治疗,22例恢复良好,10例中残,7例重残或植物生存,死亡21例.结论 重症颅脑损伤合并创伤性休克诊治关键在于早期做出准确的诊断,合理的病情评估,并及时给予合理治疗,以避免并发症的发生及降低死亡率.%Objective To study the clinical features and therapeutic schedule of patients with severe craniocerebral injury complicated with wound shock. Methods Sixty patients with severe craniocerebral injury complicated with wound shock were retrospectively analyzed to discuss the clinical features and therapeutic schedule. Results There were 38 cases with simple craniocerebral injury and 22 cases with combined injuries, including 6 cases with cerebral hernia. 44 cases were treated with craniotomy, 37 cases with abdominocentesis, 23 cases with abdominal operation, 23 cases with trachea cannula, 7 cases With closed drainage of pleural cavity. There were 22 cases with good recovery, 10 cases with moderate disability, 7 cases with with severe dcfictsor vegetable, and 21 cases dead after therapy. Conclusion It is very important to give prompt diagnosis and treatment as well as to find the causes of shock early, in order to reduce the complication and mortality rate.
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