急性颅脑损伤的临床麻醉处理方法探究

蔡 琴

急性颅脑损伤的临床麻醉处理方法探究

蔡 琴

目的 探讨急性颅脑损伤的临床麻醉处理方法。方法 选取我院收治的急性颅脑损伤67例作为研究对象，所有患者均予以临床麻醉处理，对患者的麻醉使用情况以及苏醒时间等指标进行观察。结果 术中4例出现短暂躁动，采取措施后恢复镇静，术前30例患者恢复正常且均未出现不良反应；37例术前意识状态模糊、病情危重患者，手术治疗后得到缓解；术后7例因并发症死亡，2例患者成为植物状态，58例正常恢复出院，总有效率86.6%。结论 急性颅脑损伤的临床麻醉处理必要且有价值，处理方法要根据患者个体化差异而确定，可有效提高治疗总有效率。【关键词】急性颅脑损伤；麻醉处理；临床

【Abstract】

Objective To investigate the clinical anesthetic management of acute craniocerebral injury. Methods 67 cases of acute craniocerebral injury in our hospital were selected as the research objects，and all patients were clinical anesthesia，anesthesia of the patients with usage and awakening time index were observed. Results There were 4 cases of intraoperative transient agitation，and 30 patients were recovered to normal and no adverse reactions.37 cases of preoperative awareness of the state of fuzzy，critically ill patients，surgical treatment was relieved. After 7 cases died of complications，2 patients of vegetative state，58 cases were discharged from hospital，the total effective rate was 86.6%. Conclusion The clinical anesthesia of acute craniocerebral injury treatment necessary and valuable，processing methods，should be determined according to patients' individual differences and can effectively enhance total effective treatment.

【Key words】Acute craniocerebral injury，Anesthesia，Clinical

急性颅脑损伤是创伤外科及神经外科最复杂而又最常见的急症之一，发生于中枢器官，致死率高，即使为幸存患者，也会造成肢体、智力、劳动力损伤，远远严重于其它任何创伤。其中急诊手术是治疗急性颅脑损伤的有效手段，可有效提高患者的成活率，然而该手术具有较高的临床麻醉处理要求［1］。笔者主要探讨急性颅脑损伤的临床麻醉处理方法，将结果报道如下。

1　资料与方法

1.1 临床资料

本次选取的67例研究对象均为我院2014年3月～2015年9月收治的急性颅脑损伤患者，现将患者资料整理如下：其中男40例，女27例，年龄20～72岁，平均年龄（47.3±5.8）岁；致伤原因：交通事故损伤28例、高空坠落18例，硬物砸伤12例，摔伤9例；其中硬膜外血肿25例，硬膜下血肿20例，颅内出血18例，脑干损伤4例；……