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目的分析重型颅脑摩托车交通伤的临床特点及抢救要点。方法回顾性分析我科2003年1月份￣2005年12月的80例重型颅脑摩托车交通伤事故现场资料,临床及影像资料及抢救后的结果。结果GSC评分3￣5分25例,5￣8分55例。开颅手术30例,其他手术15例,气管切开35例。死亡25例,植物生存4例,重残4例,中残6例,恢复良好41例。结论重型颅脑交通伤伤情重、多发伤多、伤情复杂。及时有效的院前急救及入院后处理对患者的预后有重要意义。
Objective To analyze the clinical features and salvage points of heavy brain trauma traffic injuries. Methods A retrospective analysis was made on the field data, clinical and imaging data of 80 cases of severe craniocarcinoma traffic accidents in our department from January 2003 to December 2005 and the results after the rescue. Results GSC score 3 to 5 points in 25 cases, 5 to 8 points in 55 cases. Craniotomy in 30 cases, 15 cases of other surgery, tracheotomy in 35 cases. 25 cases died, 4 cases of plant survival, 4 cases of severe disability, 6 cases of disability and 41 cases of good recovery. Conclusion Severe craniocerebral trauma injuries are more serious, more traumatic and complicated. The timely and effective pre-hospital emergency and post-hospital treatment of patients with prognosis of great significance.