探讨颅脑损伤脑疝合并失血性休克患者急诊治疗措施以及影响因素

摘要

Objective:To study the emergency treatment measures and influencing factors for patients with hernia brain injury and hemorrhagic shock.Methods:A retrospective analysis of 30 patients with hernia brain injury and hemorrhagic shock treated in a hospital from February 2014 to February 2015 were taken as research obj ects,in which 1 8 patients with precursor of hernia;8 patients with hernia compensated stage;4 patients with hernia failure.Then carry out different measures according to the emergency treatment of pa-tients with brain inj ury hernia grade and observe therapeutic effects and influencing factors.Results:After e-mergency treatment,efficiency of patients with hernia failure 88.89% was significantly higher than that of patients with decompensated hernia 75.00% and patients with hernia failure 25.00%,and the difference was statistically significant (P<0.05).After treatment,the neurological function scores of the patients with pre-cursor of hernia were significantly less than the patients with hernia failure and compensated stage (P<0.05),and the difference was statistically significant (P<0.05).After treatment,number of GOS V grade of the patients with hernia prodromal is significantly more than that of the patients with hernia hernia failure and compensated stage (P<0.05),and the difference was statistically significant (P<0.05).Conclusion:In the emergent treatment for the patients with hernia brain inj ury and hemorrhagic shock,it should take into account the level of hernia and shock levels,and choose the most appropriate treatment methods and meas-ures,which will improve patient survival and rescue effect.%目的：：研究颅脑损伤脑疝合并失血性休克患者的急诊治疗措施以及影响因素。方法：回顾性分析某院2014年2月~2015年2月收治的颅脑损伤脑疝合并失血性休克患者30例。其中，脑疝前驱期组患者18例；脑疝代偿期组患者8例；脑疝衰竭期组患者4例。根据患者颅脑损伤脑疝等级不同采取不同的急诊治疗措施，观察治疗效果以及影响因素。结果：经急诊治疗后，脑疝前驱期患者有效率(88.89%)明显的高于脑疝代偿期患者(75.00%)与脑疝衰竭期患者(25.00%)，差异具有统计学意义(P<0.05)；脑疝前驱期患者治疗后神经功能评分明显的小于脑疝代偿期以及脑疝衰竭期患者(P<0.05)，差异具有统计学意义(P<0.05)；治疗后脑疝前驱期患者GOS评价 V级的例数明显的多于脑疝代偿期以及脑疝衰竭期患者(P<0.05)，差异具有统计学意义(P<0.05)。结论：颅脑损伤脑疝合并失血性休克患者在急诊救治时应该兼顾脑疝等级与休克等级，选择最恰当的治疗方法与措施，才会提高对患者的抢救效果与生存率。