摘要
目的 为了降低腹部闭合性损伤合并颅脑损伤的死亡率，对本院诊断和治疗本病的经验进行总结。方法回顾1990～1999年收治严重腹部闭合性损伤合并颅脑损伤患者76例。伤后来诊时间为20 min～6 h，来诊时均具有不同程度的休克、烦躁、意识不清等。结果全部病例均行剖腹探查术，因颅脑损伤手术者26例。本组患者腹－脑同时手术者4例，腹部手术后2 h以内行颅脑手术者12例，腹部手术6 h后行颅脑手术者10例。本组患者死亡17例，死亡率为22.4％。结论重视在急诊室的早期诊断和治疗。有低血压的闭合性损伤患者意识丧失时，迅速治疗其腹腔内出血具有首要意义。术后治疗既要注意到全身状况，又要重视颅脑损伤的处理，必要时给予营养支持治疗。
Objective The purpose of this study was to sum up the experience that we rescued patients with abdominal closed injury combined with cerebral cranium injury by operation. Methods Seventy-six patients with abdominal closed injury with combined cerebral cranium injury were reviewed during 1990 to 1999. When the patients came to hospital in twenty minutes to six hours after injury, they were suffering from various degrees of shock, dysphoria and confusion etc. Results All patients were made exploratory laparotomy. Twenty-six patients suffered from cerebral cranium injury, in whom four cases were made abdomen and brain operation at the same time. Twelve cases were made cerebrl cranium operation within two hours after abdominal operation.Ten cases were made cerebral cranium operation six hours after abdominal operation.Among all patients,seventeen cases died after operation,the mortality rate was 22.4％.Conclusi- ons Paying attention to early diagnosis and early treatment is very important for treatment of intra-abdominal bleeding , especially when the patients suffered from hypotension and confusion. After the operation we must take note to the systemic condition and treatment.If necessary, we must give the patients nutritional treatment.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2001年第3期300-302,共3页
Acta Academiae Medicinae Sinicae
关键词
腹部闭合性损伤
颅脑损伤
诊断
治疗
外科手术
abdominal closed injury
cerebral cranium injury；diagnosis
treatment
