Clinical analysis of hemorrhagic shock in patients with traumatic brain injury

Objective To investigate the incidence,treatment and prognosis of traumatic brain injury( TBI) combined with hemorrhagic shock,and improve the clinical prognosis and curative effect. Methods The clinical data of 520 patients with TBI were summarized. And we retrospectively analyzed the clinical manifestations,treatment and prognosis of patients with hemorrhagic shock. The incidence and major cause of death of TBI combined with hemorrhagic shock were summarized. Chi-square test was used to explore such risk factors as gender,age,GSC,blood pressure,pulse,etc.. Results Hemorrhagic shock occurred in 44 patients( 8. 46%,44 /520),including 27 males and 17 females,with the average age of( 38. 26 ± 9. 25) years. Traffic accident was the most common cause of injury( 68. 18%,30 /44). Glasgow coma scale( GCS) was 3-5 in 16 cases,6-8 in 17 cases and 8-12 in 11 cases. 25 patients( 56. 82%) died during the follow-up of 1 month,among whom 10 patients died in 24 h and 15 patients after 24 h. Conclution TBI combined with hemorrhagic shock was rare,but the mortality was high. The major cause of death in the early stage( 24h) was hemorrhagic shock,different from that of brain injury in the later stage( 72h). Attention should be paid clinically to early detection and early treatment to get the best therapeutic effect.