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报告52例小儿颅脑外伤的急救治疗结果。轻型颅脑损伤21例(40.4%),中型颅脑损伤19例(36.5%),重型颅脑损伤12例(23.1%)。41例(90.4%)有昏迷史,5例(9.6%)表现意识朦胧、嗜睡。手术治疗20例(38.5%),非手术治疗32例(61.5%)。恢复良好者27例(51.9%),中残16例(30.8%),重残4例(7.7%),死亡3例(5.8%),退院2例(3.9%)。作者认为正确掌握小儿颅脑外伤特点、手术和非手术治疗适应症及急救措施有助于指导临床工作。
Report of 52 cases of pediatric traumatic brain injury emergency treatment results. Twenty-one patients (40.4%) had mild craniocerebral injury, 19 (36.5%) had intermediate craniocerebral injury, and 12 patients (23.1%) had severe craniocerebral injury. 41 cases (90.4%) had coma history, and 5 cases (9.6%) had hazy consciousness and drowsiness. Surgical treatment of 20 cases (38.5%), non-surgical treatment of 32 cases (61.5%). There were 27 cases (51.9%) with moderate recovery, 16 (30.8%) with moderate disability, 4 (7.7%) with severe disability, 3 (5.8%) died and 2 (3.9%) patients with retreat. The author believes that correctly grasp the characteristics of children with traumatic brain injury, surgical and non-surgical treatment of indications and emergency measures help to guide clinical work.