摘要
目的 探讨现代颅脑交通伤的特点及救治措施。 方法 回顾性分析本科８ 年间收治的颅脑交通伤１ １３４ 例。其中男８３７ 例，女２９７ 例；平均年龄３１ 岁。本组轻型颅脑伤３２５ 例，中型３３９ 例，重型４７０ 例。 结果 本组手术治疗３６３ 例，死亡８７ 例。非手术治疗７７１ 例，死亡６０例。总死亡率１２．９６％ 。治愈８３８ 例，治愈率７３．９０％ 。 结论 （１） 城乡机动车辆尤其是摩托车的急剧增多是颅脑交通伤高发的主要原因，其特点是伤情重，合并伤、并发症多，死亡率高。（２） 救治中应重视院前急救，及早纠正休克，注意ＣＴ的动态追踪，预防急性肾功能衰竭。（３） 加强颅脑交通伤的预防和救治可减少伤残率及死亡率。
Objective To study the characteristics and treatment of modern craniocerebral traffic injury. Methods A total of 1 134 cases (male 837, female 297, with an average age of 31 years) with craniocerebral traffic injuries in 8 years were analyzed retrospectively. Motorcycles were the main victim makers in this study. There were 325 cases with mild traumatic brain injuries, 339 medium and 470 severe. Results There were 363 cases treated with surgery, 87 deaths; 771 cases were free from surgery, 60 deaths. The total lethality rate was 12.96%. The cured cases were 838, the cure rate was 73.90%. Conclusions Craniocerebral traffic injuries possess the characteristics of severe injuries, high mortality and multi injuries. More and more motor vehicles, especially motorcycles are the main victim makers causing high occurrence of craniocerebral traffic injury. It is important to manage the emergency preadmission, correct shock in the early stage, pay attention to the brain CT and prevent acute renal insufficiency.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2000年第1期44-45,共2页
Chinese Journal of Trauma
