小儿颅脑外伤合并胸腹部复合伤16例

目的通过对16例颅脑外伤合并严重复合伤病例的回顾性分析，探讨提高小儿颅脑外伤合并胸腹部复合伤救治成功率的方法。方法回顾性分析本院收治的16例小儿颅脑外伤合并胸腹部复合伤患儿临床资料。判别严重休克的病因，准确发现胸腹部合并伤等重要损伤，快速纠正休克和分别处置。结果16例颅脑外伤合并胸腹部损伤的严重复合伤患者，经上述处理，均抢救成功，治愈13例，平均格拉斯哥（GCS）评分13．7分；致残3例，平均GCS评分6．67分。无一例死亡。结论准确判断病情，在颅脑外伤影响患儿意识时及时准确地判断可能合并的胸腹部外伤，迅速纠正失血性休克，处置合并的胸腹部外伤，可挽救大部分危重病例，提高救治效果。

Treatments of craniocerebral injury in children with thoracic and abdominal injury in 16 cases and review of the literature

Objetive Retrospective analysis of 16 cases of craniocerebral injury combined with severe compound injury to improve the success rate of treatment in children with craniocerebral trauma combined with thoracic and abdominal injury rate. Methods Retrospective analysis 16 cases of craniocerebral injury in children with thoracic and abdominal injury in Shanghai Children$ Medical Center. Rapid discrimination causes severe shock or respiratory distress,rapid correction of shock and relieving airway obstruction. Results Craniocerebral injury with thoracic or abdominal injury of 16 cases with severe combined injury,after the above treatment,were rescued successfully, 13 cases were cured, the average GCS score of 13.7; disability in 3 cases,the mean GCS score of 6.67 points. No death ease. Conclusion The accurate diagnosis, the consciousness of cranioeerebral injury in children and the potential combined with thoracic or abdominal injury should be timely and accurate judged. Correct hemorrhagic shock, appropriate treatment of thoracic or abdominal injury , can save the most severe cases and improve the success rate of treatment.