摘要
目的探讨重型颅脑损伤并发多器官功能障碍的临床特点及治疗方法。方法总结我科2007年11月~2013年11月收治的533例重型颅脑损伤并发多器官功能障碍患者的临床特点及治疗经验。结果重型颅脑损伤并发多器官功能障碍死亡率较高,达36.4%;GCS评分越低则死亡率越高(P<0.05);GCS≥5分时合并脏器功能障碍数量越多死亡率越高(P<0.05);GCS<5分时合并不同数量脏器功能障碍死亡率无明显差异(P>0.05)。结论重型颅脑损伤并发器官障碍的数量及GCS评分与死亡率有相关性。重型颅脑损伤并发多器官功能障碍的治疗目前仍以对症治疗为主。早期预防、早期治疗可能出现的多器官功能障碍,对降低重型颅脑损伤的死亡率有重要的意义。
Objective To study the clinical feature and therapy of severe craniocerebral injury complicating multiple organ dysfunction.Methods To summarize the clinical feature and therapic experience of 533 severe craniocerebral injury complicating multiple organ dysfunction cases,that were hospitalized in our department from November 2007 to November 2012.Results Severe craniocerebral injury complicating multiple organ dysfunction has higher mortality,that is 36.4%;the patients with lower GCS are higher mortality(P<0.05);as GCS≥5,the patients with more organ dysfunction are higher mortality(P<0.05);but,as GCS<5,the patients with dif erent amount organ dysfunction have no manifest discrepancy of mortality(P<0.05).Conclusion The amount of organ dysfunction and GCS score of severe craniocerebral injury complicating organ dysfunction is associated with mortality.The therapy of severe craniocerebral injury complicating multiple organ dysfunction is also primary symptomatic treatment.It has considerable significance for reducing mortality of severe craniocerebral injury that is earlier precaution and treatment multiple organ dysfunction.
作者
张涛
唐晓平
彭华
ZHANG Tao;TANG Xiao-ping;PENG Hua(Department of Neurosurgery,The Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)
关键词
重型颅脑损伤
多器官功能障碍
临床分析
对症治疗
Severe craniocerebral injury
Multiple organ dysfunction
Clinical analysis
Symptomatic treatment
