Treatment of severe head trauma with clinical shock

Objective: To conclude the comprehensive treatment of severe craniocerebral trauma with shock, and explore the clinical treatment of severe craniocerebral trauma with shock. Methods: Retrospectively analyzed the clinical data of 50 patients readmitted into ICU for severe craniocerbral trauma and shock from 2001 to 2007 in our hospital, and concluded the comprehensive, especially the treatment of fluid therapy. Results: 39 cases were survived, and the survival rate was 84.7%, according to GOS score, 4 cases were vegetative survival, 24 cases were of light residues, 7 cases were of residues, 4 cases were of severe disability, 11 cases were dead, the cause of death: 9 cases were brain stem failure, 2 cases were multiple organ failure. Conclusion: Actively looking for the cause of shock, early fluid resuscitation, paying attention to prevention and treatment of intracranial pressure and treatment are the key to prevent secondary brain injury.