Yang Zhen-jiu, Yang Jia-yong, Feng Cheng-xuan, Song Wei-jian, Sun Qiang
Department of Neurosurgery, Nanshan Hospital, Shenzhen 518052, China.
Chin J Traumatol. 2004 Feb;7(1):49-51.
To sum up the experience in treating very severe traumatic brain injuries.
Retrospective analysis of 68 patients with very severe traumatic brain injuries treated in our hospital from 1997 to 2002 was done.
Forty-one (60%) patients died. In the 50 patients treated surgically 27 (40%) survived, 8 recovered well, 9 had moderate disability and 10 had severe deficits. The 18 patients treated non-operatively all died.
Much attention should be given to the observation of the changes of severe brain injuries with cranial base injury. Timely operative decompression, basic life support, keeping effective brain blood perfusion and effective oxygen supply, improving cerebral microcirculation and preventing or controlling complications are the main methods to raise the successful rate of treating very severe brain injuries and the life quality of the patients.
总结极重型颅脑损伤的治疗经验。
对我院1997年至2002年收治的68例极重型颅脑损伤患者进行回顾性分析。
41例（60%）患者死亡。50例行手术治疗的患者中，27例（40%）存活，8例恢复良好，9例有中度残疾，10例有严重功能障碍。18例非手术治疗的患者全部死亡。
应高度重视合并颅底损伤的重型颅脑损伤病情变化的观察。及时手术减压、维持基本生命支持、保持有效的脑血流灌注和有效的氧供应、改善脑微循环以及预防或控制并发症是提高极重型颅脑损伤治疗成功率和患者生活质量的主要方法。
