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我院于1995年用高压氧舱治疗1例重型颅脑损伤致植物状态病人,获得脑复苏的满意效果。现报告如下。 患者女,24岁,实习司机。1995年9月9日自快速行驶的摩托车上跌下,右顶部着地。当即昏迷,对任何外界刺激无反应。频繁喷射状呕吐,鼻腔出血,四肢颈项强直,尿潴留。头颅CT报告:弥漫性脑挫裂伤,原发性脑干伤。经脱水、吸氧、静脉营养、水电解质平衡、气管切开解决呼吸道感染痰窒息等措施后,呕吐停止,颈项强直渐缓解。鼻饲全流维持。继而出现高热,体温39℃。自主呼吸减弱。经处理后仍持续在38℃左右。双眼可睁开转动,无意识反应。间断出现局限性癫痫。
Our hospital in 1995 with hyperbaric oxygen chamber treatment of 1 case of severe craniocerebral injury caused by plant-state patients, to obtain the satisfactory effect of cerebral resuscitation. The report is as follows. Female patient, 24 years old, trainee driver. On September 9, 1995, the motorbike that had been driving fast fell and the top of the ground landed. Immediately unconscious, no response to any external stimuli. Frequent jet-like vomiting, nasal bleeding, neck and neck stiffness, urinary retention. Head CT report: diffuse cerebral contusion, primary brain stem injury. After dehydration, oxygen, intravenous nutrition, water and electrolyte balance, tracheotomy to resolve respiratory tract infection sputum suffocation and other measures, vomiting stopped, neck tonic gradually relieve. Nasal feeding full flow to maintain. Followed by fever, body temperature 39 ℃. Weakened spontaneous breathing. After treatment continued at about 38 ℃. Eyes can be opened and rotated, unconscious response. Intermittent limitations of epilepsy.