Strategy on the treatment of severe traumatic brain injury combined with multiple injury
LIN Hao
GAO Xiang
CAI Hong-ru
KE Tie
XU Zhi-xian
ZHANG Xu-ming
Abstract：Objective To explore the clinical features and treatment strategies for patients with STBI( se-vere traumatic brain injury) combined with multiple trauma. Methods The clinical data of 65 poly-trauma patients with STBI in our department during Jun. 2012 and Jun. 2016 were analyzed retrospectively. Among them 48 cases were male and 17 were female. Ages ranged from 16-65 years with an average of 38. 2 years. Of 65 cases,18 had closed abdominal injury,12 had hemopneumothorax,traumatic wet lung and multiple ribs fracture,11 had pelvic fracture,9 had severe oral and maxillofacial injury,and 15 had limbs fracture,with GCS≤8 and ISS≥16. Results In all the 65 cases,30 were cured(46. 2％),12 cases had mild disability(18. 5％),8 cases had serious disability (12. 3％),6 cases were in plant survival state(9. 2％),and 9 cases died(6. 2％). Conclusion STBI combined with multiple trauma is very severe and complicated with high mortality and morbidity. According to poly-trauma treatment integration,using damage control surgery and treating STBI preferentially combined with ICU comprehen-sive treatment is the key to improve the success rate of treatment of such patients.
Keywords：mutiple traumabrain injurydamage control
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 734-736 )