[Effect of multiple trauma on rehabilitation of patients with craniocerebral injuries].
[Effect of multiple trauma on rehabilitation of patients with craniocerebral injuries].
复制标题
多发伤对颅脑损伤患者康复的影响
DOI：
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发表时间：
1995
期刊：
影响因子：
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通讯作者：
W. Gobiet
中科院分区：
文献类型：
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作者：
W. Gobiet
本研究的目的是证明多发伤是否对重型颅脑损伤（SHI）患者的康复和预后有直接影响。事故发生3年后，对558名患者进行了调查。82%（447例）合并SHI和多发伤。多发伤和类似程度的SHI患者的预后明显差于孤立性SHI患者。康复医院的愈合过程很复杂，尤其是气管-肺因素和错误的寝具因素（萎缩、钙化、褥疮）。可以得出结论，诊断和手术治疗必须在持续强化和神经监测下进行。只有在急性期才应进行挽救生命的手术。所有中、重度颅脑损伤患者均需在重症监护治疗的同时进行早期康复治疗。
The aim of this investigation was to proof, wether there is a direct influence of polytrauma on rehabilitation and outcome in patients with severe head injury (SHI). 558 patients were investigated 3 years after the accident. 82% (447) had combined SHI and polytrauma. Patients with polytrauma and similar degrees of SHI showed significantly poorer outcome than those with isolated SHI. The healing process in the rehabilitation hospital was complicated especially by tracheo-pulmonary factors and wrong bedding factors (atrophi, calcification, decubital ulcers). It can be concluded, that diagnostics and operative treatment must be done under continuous intensive and neuromonitoring. Only life-saving operations should be done in the acute stage. All patients with moderate and severe head injury need early rehabilitation parallel to the intensive care treatment.