| 21例GCS 3分特重型颅脑伤病人救治经验 |
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| 引用本文： | 江基尧,董吉荣,朱诚.21例GCS 3分特重型颅脑伤病人救治经验[J].中华神经外科杂志,1999,15(1):7-9. |
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| 作者姓名： | 江基尧 董吉荣 朱诚 |
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| 作者单位： | 第二军医大学长征医院神经外科 |
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| 摘 要： | 目的总结２１例ＧＣＳ３分特重型颅脑伤病人的救治经验。方法对我科１９９５年１月至１９９７年６月收治的ＧＣＳ３分特重型颅脑伤病人进行回顾性总结。结果２１例ＧＣＳ３分特重型颅脑伤存活９例（４３％），其中恢复良好和中残５例（２３％），重残４例（１９％），死亡１２例（５７％）。结论尽早清除颅内血肿、大骨瓣减压，早期亚低温治疗、呼吸机辅助呼吸、维持内环境稳定及防治并发症等措施，可显著改善ＧＣＳ３分特重型颅脑伤病人的预后
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| 关 键 词： | GCS 3分 特重型颅脑伤 治疗 预后 |
Clinical experience of management for the most severe head injured patients with a GCS score of 3(a report of 21 cases) |
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| JIANG Jiyao,DONG Jirong,ZHU Cheng,et al..Clinical experience of management for the most severe head injured patients with a GCS score of 3(a report of 21 cases)[J].Chinese Journal of Neurosurgery,1999,15(1):7-9. |
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| Authors: | JIANG Jiyao DONG Jirong ZHU Cheng |
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| Affiliation: | JIANG Jiyao,DONG Jirong,ZHU Cheng,et al. Department of Neurosurgery,Changzheng Hospital,Second Millitary Medical University,Shanghai 200003 |
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| Abstract: | Objective To summarize the therapeutic experience of 21 patients of traumatic head injuries with a score of 3 on GCS. Methods 21 most severe head injuried patients with a score of 3 on GCS who admitted to our department from Jan. 1995 to July 1997 were analyzed retrospectively. Results 9 cases(42%) survived in which 5 cases(23%) had a good recovery or moderate disability, and other 4 cases with severe deficits(19%). The other 12 dead(57%) after therapy. Conclusion The prognosis of most severe head injured patients with a score of 3 on GCS could be improved by early evacuation of intracranial hematoma with large decompressive cranietomies, early moderate hypothermia therapy, early assistent ventilation and effective prevention and treatment of complications. |
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| Keywords: | GCS score 3 Most severe head injury Prognosis |
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