重型颅脑损伤急性弥漫性脑肿胀的临床特点和治疗措施

摘要

目的 对134例重型颅脑损伤急性弥漫性脑肿胀患者的临床特点、治疗措施以及预后情况进行探讨研究,进而总结出一套较为合适的救治方案.方法 对本组134例急性弥漫性脑肿胀患者手术治疗和非手术治疗,以及预后进行回顾性分析.结果 手术组的76例患者中存活55例占手术组的72.4%,死亡21例占27.6%;非手术组的58例患者中存活43例占非手术组的74.1%,死亡15例占25.9%.结论 早期采取综合措施积极救治是提高重型颅脑损伤急性弥漫性脑肿胀患者疗效的关键.%Objective To investigate the clinical features of diffuse brain swelling following severe craniocerebral trauma and explore the optimized treatment protocols. Methods A total of 134 cases of craniocerebral trauma with diffuse brain swelling receiving surgical treatment (n=76) and conservative therapy (n=580) were analyzed retrospectively for the clinical outcomes. Results Of the 76 surgical patients, 55 survived with a survival rate of 72.4% as compared with the rate of (75.9%, 43/58) in the conservative therapy group. Conclusion Early implementation of comprehensive measures is of critical importance in the management of severe craniocerebral trauma with diffuse brain swelling.