本文選題：腦損傷　切入點：創(chuàng)傷　出處：《中華創(chuàng)傷雜志》2002年05期 　論文類型：期刊論文

【摘要】：目的　分析影響顱腦火器傷預后的因素 ,確定顱腦火器傷的預后�！》椒āΦ诙娽t(yī)大學附屬長征醫(yī)院神經(jīng)外科等軍內(nèi) 5家醫(yī)院 2 1年收治的 10 8例平時顱腦火器傷進行回顧性分析�！〗Y(jié)果　對 71例行頭顱CT檢查表明 ,非穿透性顱腦火器傷占 11.3 % ( 8 71) ,其預后良好 ;穿透性顱腦火器傷占 88.7% ( 63 71) ,其中腦室穿透傷和雙側(cè)半球損傷預后較差 ;顱內(nèi)血腫的發(fā)生率為 4 6.5 % ( 3 3 71) ,其中腦內(nèi)血腫、硬膜下血腫和蛛網(wǎng)膜下腔出血明顯增加顱腦火器傷的死亡率。結(jié)論　非穿透性顱腦火器傷一般預后較好 ;格拉斯哥昏迷評分 (GCS) 5分的穿透性顱腦火器傷、GCS 8的雙側(cè)半球損傷和腦室穿透傷一般預后較差 ;伴有硬膜下血腫、腦內(nèi)血腫和蛛網(wǎng)膜下腔出血的顱腦火器傷患者預后較差
[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.
【作者單位】： 第二軍醫(yī)大學附屬長征醫(yī)院神經(jīng)外科、上海市神經(jīng)外科研究所 第二軍醫(yī)大學附屬長征醫(yī)院神經(jīng)外科、上海市神經(jīng)外科研究所 第二軍醫(yī)大學附屬長征醫(yī)院神經(jīng)外科、上海市神經(jīng)外科研究所 蘭州軍區(qū)總醫(yī)院神經(jīng)外科 海軍第四一一醫(yī)院神經(jīng)外科 解放軍第二六六醫(yī)院神經(jīng)外科 ，

本文編號：1581024