重型颅脑损伤

方法对我院2000-01~2005-12收治的256例重型颅脑损伤（GCS≤8分）的患者救治效果进行回顾性分析。

Methods The data of 256 cases with sTBI ( GCS ≤ 8 ' ) treated in our hospital from January 2000 to December 2005 were analyzed retrospectively .

然而尽管采用了包括手术在内的各种综合救治措施，重型颅脑损伤的死亡率及致残率仍居高不下，其死亡率基本保持在30%-50%左右。

However , a variety of comprehensive measures had been made , including surgical treatment , severe traumatic brain injury remains high mortality and morbidity , the mortality rate remained at 30 % ~ 50 % .

重型颅脑损伤患者急诊CT检查的护理体会

Nursing the Patient Who is Severe Brain Wound in CT Examination

CT对重型颅脑损伤后颅内压和预后估价

Estimating the Intracranial Pressure and Prognosis by CT Scan in Closed Severe Brain Injury

早期肠内营养对重型颅脑损伤病人胃液pH值的影响

The effect of early enteral nutrition on gastric acid in severe brain injury patients

重型颅脑损伤病人的脑干听觉诱发电位与CT基底池形态变化的比较研究

Brainstem auditory evoked potential and Changes of Basal Cistern of CT scanning of the patients with severe head injury

中、重型颅脑损伤的脑血流动力学异常者发生率较高，两者之间无显著差异，与轻型颅脑损伤者相比，差异显著，P＜0.01。

Cerebral blood flow abnormalities in midst and serious cerebral injury had a high incidence , there was no significant difference between midst and serious cerebral injury .

重型颅脑损伤患者P300与智商的相关性

Relationship between P300 and Intelligence Quotient in Severe Head Injury Patients

急性重型颅脑损伤患者脑组织PO2、PCO2和pH变化的临床研究

Clinical study of cerebral PO_2 , PCO_2 and pH in patients with acute severe brain injury

重型颅脑损伤患者血浆8-表氧前列腺素F（2α）水平及抗氧化剂疗效评价

Plasma level of 8-iso-prostaglandin F_ ( 2 α) in patients with severe brain injury and its value in evaluating the curative effect of antioxidants

脑干听觉诱发电位Hall与Cant分级标准对重型颅脑损伤病情评估价值的比较

Compare the value of hall and cant grading standards for brainstem auditory evoked potentials in patients with severe head injury

结论ERP是测定重型颅脑损伤患者认知功能变化的一项客观指标。

Conclusion ERP might be taken as an objective index for measuring the change of the brain cognition function in patients with severe head injury .

目的探讨高压氧（HBO）早期辅助治疗重型颅脑损伤的临床效果。

Objective To explore clinical effect of early assistant treatment for severe head injury with hyperbaric oxygen .

目的研究亚低温对重型颅脑损伤（SHI）后脑循环动力学的影响及其临床意义。

Obective To investigate the effect of mild hypothermia on cerebral hemodynamic disturbances after sever head injury ( SHI ) and its clinical significance .

而在重型颅脑损伤，对侧半球与伤侧半球CHI呈平行发展趋势，以伤后第3d偏离正常值最远。

While the CHI in both hemisphere trended to get farther from the normal value with time and reached the farthest points on the 3d after injury .

重型颅脑损伤视觉听觉P300特征及与智商的相关性

The features of visual and auditory P300 and correlations of intelligence quotient in severe traumatic brain injury

方法分析125例重型颅脑损伤术后合并MODS患者的原因及临床特点。

Methods We analyzed the cause and clinical characteristics of 125 cases of MODS following severe craniocerebral injury after operation .

TCD参数与重型颅脑损伤患者颅内压及脑灌注压的相关性研究

A relativity study on TCD ultrasonography parameters with intracranial pressure and cerebral perfusion pressure in patients with severe brain injury

TCD对重型颅脑损伤预后判断价值的临床研究

Clinical Study of Value of Transcranial Doppler ( TCD ) Ultrasonography to Estimating Prognosis in Patients with Severe Brain Injury

S-100B，NSE和MBP评估重型颅脑损伤预后的研究

Role of S-100B , NSE and MBP in Prediction of Prognosis in Patients with Severe Head Injury

目的探讨亚低温疗法对重型颅脑损伤（GCS≤8分）的临床疗效。

Objective To evaluate the clinical effect of hypothermia therapy for severe brain injury ( GCS ≤ 8 scores ) .

方法：将重型颅脑损伤96例随机分为A、B两组，A组在常规治疗基础上加用1,6-二磷酸果糖，B组按常规治疗。

Method : 96 patients with severe CBI were randomly divided into group A and B. Patients in group A were treated with routine means and 1 . 6 - FDP Patients in group B with only routine means .

结果：重型颅脑损伤患者血液粘度增高，血清SOD活力降低且MDA含量增高（P<0.05）。

Result : The blood viscosity of patients with severe traumatic brain injury was increased , and the level of SOD was decreased and MDA increased ( P < 0.05 ) .

目的探讨血清神经元特异性烯醇化酶（neuron-SpecificEnolase，NSE）与重型颅脑损伤患者预后的关系。

Objective To investigate the relationship between serum neuron-specific enolase ( NSE ) and the prognosis of severe head injury .

目的探讨血管活性物质肾上腺髓质素（ADM）、内皮素-1（ET-1）、去甲肾上腺素（NE）在重型颅脑损伤中的变化及对血流动力学的影响，并探讨其可能的作用机制。

Objective To investigate the role of adrenomedullin ( ADM ), endothelin-1 ( ET-1 ), norepinephrine ( NE ) in the pathogenesis of serious brain injury .

目的探讨1,6二磷酸果糖（FDP）治疗重型颅脑损伤的效果和安全性。

Objective To evaluate the effect and safety of 1,6 fructose diphosphate ( 1,6 FDP ) in acute severe brain injuries .

Swan-Ganz漂浮导管在重型颅脑损伤患者中的应用

Application of Swan-Ganz catheter in severe head injury

结论重型颅脑损伤患者拔除留置导尿管最佳时间为留置导尿后5～10d。

Conclusion The optimal time to pull out the indwelling catheter is 5-10 days after catheterization in severe cerebral trauma patients .

结果重型颅脑损伤后患者血浆CGRP水平下降而CaM水平升高，利多卡因治疗后可使上述改变显著减轻并显著改善患者预后（P<0.05）。

Results The level of CGRP fall but raise in CaM after SCI . Lidocaine therapy not only belittle the change but also improve the patients ' , prognosis significantly ( P < 0.05 ) .

材料与方法：CT扫描130例重型颅脑损伤患者，分析其脑室脑池形态、脑室／颅腔比率、中线结构移位等变化特征，对颅内压和预后进行估价，并与颅内压监测结果对照。

Materials and Methods : 130 cases of severe brain injury underwent the CT scanning . The shape of brain ventricle and cisterns , ratio of ventricle / cranial cavity , shifting of middle structure as well as the monitoring results of ICP were analyzed .