平时颅脑火器伤108例预后分析

发布时间：2018-03-07 21:27

  本文选题：脑损伤　切入点：创伤　出处：《中华创伤杂志》2002年05期 　论文类型：期刊论文

【摘要】：目的　分析影响颅脑火器伤预后的因素 ,确定颅脑火器伤的预后。　方法　对第二军医大学附属长征医院神经外科等军内 5家医院 2 1年收治的 10 8例平时颅脑火器伤进行回顾性分析。　结果　对 71例行头颅CT检查表明 ,非穿透性颅脑火器伤占 11.3 % ( 8 71) ,其预后良好 ;穿透性颅脑火器伤占 88.7% ( 63 71) ,其中脑室穿透伤和双侧半球损伤预后较差 ;颅内血肿的发生率为 4 6.5 % ( 3 3 71) ,其中脑内血肿、硬膜下血肿和蛛网膜下腔出血明显增加颅脑火器伤的死亡率。结论　非穿透性颅脑火器伤一般预后较好 ;格拉斯哥昏迷评分 (GCS) 5分的穿透性颅脑火器伤、GCS 8的双侧半球损伤和脑室穿透伤一般预后较差 ;伴有硬膜下血肿、脑内血肿和蛛网膜下腔出血的颅脑火器伤患者预后较差
[Abstract]:Objective to analyze the prognostic factors of craniocerebral firearm injury. Methods the prognosis of craniocerebral firearm injury was determined. Methods 108 cases of craniocerebral firearm injury treated in 5 military hospitals such as the long March Hospital affiliated to the second military Medical University for 21 years were retrospectively analyzed. The CT findings of 71 cases showed that, The prognosis of non-penetrating craniocerebral firearm injury was 11.3% (8 / 71), the rate of penetrating craniocerebral firearm injury was 88.7% (63.71), the prognosis of ventricular penetrating injury and bilateral hemispheric injury was poor, the incidence of intracranial hematoma was 46.5% (33.71%). Among them, intracerebral hematoma, subdural hematoma and subarachnoid hemorrhage significantly increased the mortality of craniocerebral firearm injury. GCS8 with Glasgow coma score (GCS5) had poor prognosis for bilateral hemispheric injury and ventricular penetrating injury, and poor prognosis for patients with subdural hematoma, intracerebral hematoma and subarachnoid hemorrhage.
【作者单位】： 第二军医大学附属长征医院神经外科、上海市神经外科研究所 第二军医大学附属长征医院神经外科、上海市神经外科研究所 第二军医大学附属长征医院神经外科、上海市神经外科研究所 兰州军区总医院神经外科 海军第四一一医院神经外科 解放军第二六六医院神经外科 ，

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